Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | MD029164E | PA |
NPI | 1013286814 |
---|---|
Provider Name | Dr. Peggy Lynn Abrams |
First Address | Philadelphia, PA 19102-4501 |
Second Address | Philadelphia, PA 19102-4501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2011 |
Last Update Date | 22/12/2011 |