Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | PT001200E | PA |
NPI | 1639397706 |
---|---|
Provider Name | Jill K. Townsend |
First Address | Downingtown, PA 19335-3551 |
Second Address | West Chester, PA 19380-4269 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2007 |
Last Update Date | 08/07/2007 |