Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 1435 | NC |
Y | 2251G0304X | Physical Therapist - Geriatrics | 1435 | NC |
NPI | 1194050419 |
---|---|
Provider Name | Karen Michelle Cumbie |
First Address | Dunn, NC 28334-5233 |
Second Address | Lillington, NC 27546-8276 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2009 |
Last Update Date | 04/10/2009 |