Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT0010725 | FL |
NPI | 1033130489 |
---|---|
Provider Name | Miss Shari Herschenhorn |
First Address | Boynton Beach, FL 33435-7944 |
Second Address | Boca Raton, FL 33486-1304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 08/07/2007 |