Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | P20171 | NC |
NPI | 1013509421 |
---|---|
Provider Name | Chelsea Taylor Comeau |
First Address | Burlington, NC 27215-5194 |
Second Address | Burlington, NC 27215-5194 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2021 |
Last Update Date | 07/02/2021 |