Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 18986 | FL |
N | 2251E1200X | Ergonomics | 18986 | FL |
N | 225XE1200X | Ergonomics | 18986 | FL |
N | 2251N0400X | Physical Therapist - Neurology | 18986 | FL |
N | 2251S0007X | Physical Therapist - Sports | 18986 | FL |
N | 2251X0800X | Physical Therapist - Orthopedic | 18986 | FL |
NPI | 1487860961 |
---|---|
Provider Name | Dorys Herrera |
First Address | Coral Gables, FL 33143-5878 |
Second Address | Coral Gables, FL 33143-5878 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 11/01/2010 |