Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 8967 | NC |
NPI | 1073727913 |
---|---|
Provider Name | Mrs. Kerri Lynn Cleaver |
First Address | Wendell, NC 27591-9503 |
Second Address | Raleigh, NC 27607-7518 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 08/07/2007 |