Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT25453 | FL |
NPI | 1063992303 |
---|---|
Provider Name | Cathryn Ungermann |
First Address | Gainesville, FL 32607-2245 |
Second Address | Ocala, FL 34474-5786 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2018 |
Last Update Date | 27/10/2020 |