Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology |
NPI | 1669807426 |
---|---|
Provider Name | Darcie L James |
First Address | Lenexa, KS 66214-9836 |
Second Address | Lenexa, KS 66214-9836 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2013 |
Last Update Date | 03/12/2013 |