Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | 1124170 | TX |
NPI | 1841694197 |
---|---|
Provider Name | Ms. Julie Metz |
First Address | Plano, TX 75093-5323 |
Second Address | Plano, TX 75093-5323 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2014 |
Last Update Date | 15/10/2014 |