Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | TE000031L | PA |
NPI | 1003068081 |
---|---|
Provider Name | Mrs. Gail Barbara Dellinger |
First Address | Carlisle, PA 17015-6926 |
Second Address | Carlisle, PA 17015-6926 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2008 |
Last Update Date | 21/10/2008 |