Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | 1244 |
NPI | 1851303218 |
---|---|
Provider Name | Mrs. Cynthia Marie Zulick-Ford |
First Address | Geneseo, NY 14454-9306 |
Second Address | Bath, NY 14810-0810 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 08/07/2007 |