Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1124086632 |
---|---|
Provider Name | Mr. Alfred Robert Dellinger |
First Address | Horse Shoe, NC 28742-8738 |
Second Address | Asheville, NC 28805 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 08/07/2007 |