Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 22880 | MD |
Y | 225100000X | Physical Therapist | J1-0002414 | DE |
NPI | 1003152646 |
---|---|
Provider Name | Allan Z Marfil |
First Address | Rehoboth Beach, DE 19971-3185 |
Second Address | Georgetown, DE 19947-2137 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/01/2013 |
Last Update Date | 01/01/2013 |