Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 2305003203 | VA |
N | 2251C2600X | Cardiopulmonary | 2305003203 | VA |
NPI | 1467418343 |
---|---|
Provider Name | Jean W Mccauley |
First Address | Norfolk, VA 23503-3431 |
Second Address | Hampton, VA 23667-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 08/07/2007 |