Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | PT4758 | ME |
NPI | 1225578701 |
---|---|
Provider Name | Clare Morley |
First Address | Boca Raton, FL 33431-4662 |
Second Address | Dallas, TX 75234 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2017 |
Last Update Date | 02/03/2017 |