Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 5194 | TN |
NPI | 1164504775 |
---|---|
Provider Name | Dr. Audrey Zucker-Levin |
First Address | Memphis, TN 38163-2243 |
Second Address | Memphis, TN 38163-2243 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 08/07/2007 |