Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | PT007746L | PA |
NPI | 1003031774 |
---|---|
Provider Name | James P. Herlihey |
First Address | West Chester, PA 19382-1739 |
Second Address | Kennett Square, PA 19348-2366 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2007 |
Last Update Date | 08/07/2007 |