Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 2523 | NV |
NPI | 1013214790 |
---|---|
Provider Name | Ms. Jamie Pribyl |
First Address | Reno, NV 89502-7102 |
Second Address | Reno, NV 89511-2365 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2011 |
Last Update Date | 30/09/2015 |