Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 36095 | CA |
NPI | 1063837185 |
---|---|
Provider Name | Daniel Norman Sheehy |
First Address | Vista, CA 92081-7318 |
Second Address | Vista, CA 92081-7318 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2014 |
Last Update Date | 26/02/2014 |