Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 29369 | CA |
NPI | 1053638023 |
---|---|
Provider Name | Darcy Dean Norman |
First Address | Truckee, CA 96160 |
Second Address | Truckee, CA 96161 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2010 |
Last Update Date | 29/04/2010 |