Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PTH8096 | AL |
NPI | 1033664453 |
---|---|
Provider Name | Lindsey Paulson |
First Address | Gadsden, AL 35901-5216 |
Second Address | Gadsden, AL 35901-5216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2016 |
Last Update Date | 02/03/2017 |