Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 019196 | PA |
NPI | 1649210402 |
---|---|
Provider Name | Dr. Georgette Irene Driskill |
First Address | Exton, PA 19341-2551 |
Second Address | Exton, PA 19341-2551 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 16/12/2014 |