Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 3112788 | TX |
NPI | 1124364773 |
---|---|
Provider Name | Emily Michalsky |
First Address | Frisco, TX 75034-6066 |
Second Address | Frisco, TX 75034-6066 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2012 |
Last Update Date | 28/12/2012 |