Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 271609 | NY |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 271609 | NY |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 5101023529 | MI |
NPI | 1336423219 |
---|---|
Provider Name | Barbara Allyn Behling-Rosa |
First Address | Watervliet, MI 49098-9225 |
Second Address | Watervliet, MI 49098-9225 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2011 |
Last Update Date | 17/03/2018 |