Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 0067301 | NY |
NPI | 1083990691 |
---|---|
Provider Name | Linda Jean Abee |
First Address | Spencerport, NY 14559-1709 |
Second Address | Spencerport, NY 14559-1709 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2011 |
Last Update Date | 26/10/2011 |