Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251S0007X | Physical Therapist - Sports | 9466 | NC |
NPI | 1285710145 |
---|---|
Provider Name | Mr. James Reece Scifers |
First Address | Cullowhee, NC 28723 |
Second Address | Cullowhee, NC 28723 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 08/07/2007 |