Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | PT.010545 | OH |
NPI | 1134528102 |
---|---|
Provider Name | Faryl J. Norris |
First Address | Warrensville Heights, OH 44128-5494 |
Second Address | Warrensville Heights, OH 44128-5494 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2014 |
Last Update Date | 15/08/2014 |