Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 1145027 | TX |
Y | 225100000X | Physical Therapist | PT020759 | PA |
N | 2251C2600X | Cardiopulmonary | ||
N | 2251E1200X | Ergonomics | ||
N | 225XE1200X | Ergonomics | ||
N | 2251E1300X | Electrophysiology, Clinical | ||
N | 2251H1200X | Hand | ||
N | 2251H1300X | Human Factors | ||
N | 225XH1300X | Human Factors | ||
N | 2251N0400X | Physical Therapist - Neurology | ||
N | 2251P0200X | Physical Therapist - Pediatrics | ||
N | 2251X0800X | Physical Therapist - Orthopedic |
NPI | 1417077868 |
---|---|
Provider Name | Ms. Gina M Atwell |
First Address | Altoona, PA 16601-4927 |
Second Address | Altoona, PA 16601-4927 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2007 |
Last Update Date | 17/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
165148101 | (05) | TX |