Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT32662 | FL |
Y | 2251N0400X | Physical Therapist - Neurology | PT32662 | FL |
NPI | 1508184292 |
---|---|
Provider Name | Miss Baljeet Kaur |
First Address | Sarasota, FL 34243-2894 |
Second Address | Sarasota, FL 34243-2894 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2010 |
Last Update Date | 16/07/2020 |