Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | P11734 | NC |
NPI | 1023273042 |
---|---|
Provider Name | Lindsey Hull Clary |
First Address | Pineville, NC 28134-8563 |
Second Address | Pineville, NC 28134-8563 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2008 |
Last Update Date | 17/05/2010 |