Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 7755 | NC |
NPI | 1003037938 |
---|---|
Provider Name | Mary Janet Florian |
First Address | Lumberton, NC 28358-8305 |
Second Address | Lumberton, NC 28358-2162 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 08/07/2007 |