Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | PT007794L | PA |
NPI | 1053438937 |
---|---|
Provider Name | Dr. Elena Mckeogh Spearing |
First Address | Hartsville, PA 18974-1037 |
Second Address | Hartsville, PA 18974-1037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2007 |
Last Update Date | 08/07/2007 |