Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 006712 | CT |
NPI | 1306171715 |
---|---|
Provider Name | Dorothy Jessica Morawiec |
First Address | Granby, CT 06035-2030 |
Second Address | Kennett Square, PA 19348-3109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2009 |
Last Update Date | 03/10/2009 |