Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | P15133 | NC |
N | 2251P0200X | Physical Therapist - Pediatrics | PT 29565 | FL |
NPI | 1104225929 |
---|---|
Provider Name | Cara Drvol |
First Address | Durham, NC 27705-4699 |
Second Address | Durham, NC 27705-4699 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2014 |
Last Update Date | 17/03/2018 |