Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 11-00794 | KS |
NPI | 1003021809 |
---|---|
Provider Name | Mrs. Ann Elizabeth Hoover |
First Address | Emporia, KS 66801-6202 |
Second Address | Junction City, KS 66441-3557 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 09/05/2019 |