Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | PT0000002450 | TN |
NPI | 1275742777 |
---|---|
Provider Name | Mrs. Rosalyn S Schlitt |
First Address | Maryville, TN 37803-5736 |
Second Address | Maryville, TN 37804-5134 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 08/07/2007 |