Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 16063 | MD |
NPI | 1366075087 |
---|---|
Provider Name | Linda Morris Kfoury-House |
First Address | Upper Falls, MD 21156-1913 |
Second Address | Nottingham, MD 21236-1108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2020 |
Last Update Date | 20/02/2020 |