Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 71 | VI |
NPI | 1093779233 |
---|---|
Provider Name | Dr. Nkinzo M. Nkunzi |
First Address | St Thomas, VI 00802-6111 |
Second Address | St Thomas, VI 00802-6111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 05/02/2013 |