Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 3811 | NV |
NPI | 1073094249 |
---|---|
Provider Name | Anna Elizabeth Low |
First Address | Henderson, NV 89012-5513 |
Second Address | Henderson, NV 89052-5035 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2018 |
Last Update Date | 06/02/2019 |