Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | P16925 | NC |
NPI | 1043828759 |
---|---|
Provider Name | Dr. Bridget Anna Allan |
First Address | Durham, NC 27705-4160 |
Second Address | Durham, NC 27705-4504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2020 |
Last Update Date | 20/07/2020 |