Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | PT18628 | FL |
NPI | 1194742171 |
---|---|
Provider Name | Dr. Nils Erik Westerlund |
First Address | West Palm Beach, FL 33417-8052 |
Second Address | West Palm Beach, FL 33417-8052 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2006 |
Last Update Date | 08/07/2007 |