Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 708 | SC |
Y | 2251G0304X | Physical Therapist - Geriatrics | 24525 | FL |
NPI | 1285755769 |
---|---|
Provider Name | Dr. Linda K Eargle |
First Address | Sun City Center, FL 33573-5882 |
Second Address | Sun City Center, FL 33573-5882 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 03/03/2009 |