Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251H1200X | Hand | ||
N | 225700000X | Massage Therapist |
NPI | 1760618532 |
---|---|
Provider Name | Dr. Xiaodong Zhang |
First Address | Havertown, PA 19083-3711 |
Second Address | Havertown, PA 19083-3711 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2009 |
Last Update Date | 16/04/2010 |