Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist |
NPI | 1003169590 |
---|---|
Provider Name | Emily May Varee |
First Address | Hawthorne, CA 90250-4133 |
Second Address | Hermosa Beach, CA 90254-2225 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2012 |
Last Update Date | 22/01/2014 |