Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT17812 | FL |
N | 2251C2600X | Cardiopulmonary | PT 17812 | FL |
N | 2251G0304X | Physical Therapist - Geriatrics | PT 17812 | FL |
N | 2251N0400X | Physical Therapist - Neurology | PT 17812 | FL |
N | 2251S0007X | Physical Therapist - Sports | PT 17812 | FL |
N | 2251X0800X | Physical Therapist - Orthopedic | PT 17812 | FL |
NPI | 1972584985 |
---|---|
Provider Name | Helen B Present |
First Address | Lakeland, FL 33805-3019 |
Second Address | Lakeland, FL 33805-3202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 05/01/2017 |