Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT 20778 | PA |
NPI | 1083149470 |
---|---|
Provider Name | Chris Ann Welsh |
First Address | Celebration, FL 34747-4970 |
Second Address | Celebration, FL 34747-4970 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2017 |
Last Update Date | 24/04/2017 |