Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | PT2064 | FL |
NPI | 1124523436 |
---|---|
Provider Name | Mrs. Dorice Cristadoro Zeier |
First Address | Pensacola, FL 32514-7132 |
Second Address | Pensacola, FL 32514-5524 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2018 |
Last Update Date | 25/04/2018 |