Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 10438 | FL |
NPI | 1144465550 |
---|---|
Provider Name | Miss Jennifer M Webster |
First Address | Sarasota, FL 34235-2675 |
Second Address | Sarasota, FL 34235-2675 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2008 |
Last Update Date | 14/12/2008 |