Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT32514 | FL |
NPI | 1033445176 |
---|---|
Provider Name | Mrs. Teri Ann Brumfield |
First Address | Port Charlotte, FL 33952-9283 |
Second Address | North Port, FL 34286-8750 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2009 |
Last Update Date | 18/04/2019 |