Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | PT9870 | CA |
NPI | 1386139426 |
---|---|
Provider Name | Harris S Posner |
First Address | Glendale, CA 91207-1504 |
Second Address | Glendale, CA 91207-1504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2018 |
Last Update Date | 29/06/2018 |