Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | DC009981 | PA |
NPI | 1295986081 |
---|---|
Provider Name | Ms. Bindhu Madathil |
First Address | Muncy, PA 17756-6466 |
Second Address | Muncy, PA 17756-6466 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2008 |
Last Update Date | 09/12/2008 |