Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT006138L | PA |
N | 2251H1200X | Hand | PT006138L | PA |
NPI | 1134389976 |
---|---|
Provider Name | Margaret R Tull |
First Address | Rockledge, PA 19046-4437 |
Second Address | Rockledge, PA 19046-4437 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2008 |
Last Update Date | 04/05/2012 |