Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | PT31457 | FL |
NPI | 1275074833 |
---|---|
Provider Name | Maureen Claire Cron |
First Address | Jacksonville, FL 32216-4312 |
Second Address | Jacksonville, FL 32216-4312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2017 |
Last Update Date | 15/03/2017 |