Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | CH6737 | FL |
NPI | 1366582793 |
---|---|
Provider Name | Dr. Katherine Machara |
First Address | Deltona, FL 32738-9706 |
Second Address | Orlando, FL 32808-7081 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2007 |
Last Update Date | 08/07/2007 |