Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | 1444 |
NPI | 1982869798 |
---|---|
Provider Name | Mrs. Rosalind Dianne Greene-Price |
First Address | Springlake, NC 28390 |
Second Address | Springlake, NC 28390 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2008 |
Last Update Date | 21/07/2008 |