Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 3119 | OH |
N | 2251E1200X | Ergonomics | 3119 | OH |
N | 225XE1200X | Ergonomics | 3119 | OH |
N | 2251G0304X | Physical Therapist - Geriatrics | 3119 | OH |
NPI | 1104198845 |
---|---|
Provider Name | Marilyn Mcneal |
First Address | Cleveland, OH 44128-2564 |
Second Address | Cleveland, OH 44128-2564 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2012 |
Last Update Date | 26/01/2012 |