Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | CH10128 | FL |
NPI | 1326340167 |
---|---|
Provider Name | Dr. Paul Adam O'leary |
First Address | Palm Beach Gardens, FL 33410-1606 |
Second Address | Palm Beach Gardens, FL 33418-5105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2010 |
Last Update Date | 30/11/2010 |