Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 8108 | NC |
NPI | 1073830915 |
---|---|
Provider Name | Daniel Korfmann |
First Address | Pinehurst, NC 28374-8935 |
Second Address | Pinehurst, NC 28374-8935 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2010 |
Last Update Date | 27/10/2021 |