Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT009225 | GA |
Y | 2251P0200X | Physical Therapist - Pediatrics | PT009225 | GA |
NPI | 1114116068 |
---|---|
Provider Name | Mrs. Anna Kathleen Harper |
First Address | Atlanta, GA 30318-4033 |
Second Address | Atlanta, GA 30318-4033 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2007 |
Last Update Date | 30/10/2007 |