Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT34943 | FL |
N | 2251N0400X | Physical Therapist - Neurology | PT34943 | FL |
N | 2251X0800X | Physical Therapist - Orthopedic | PT34943 | FL |
Y | 225700000X | Massage Therapist | MA34943 | FL |
NPI | 1568575546 |
---|---|
Provider Name | Ms. Kathleen Lormil |
First Address | Winter Garden, FL 34787-4524 |
Second Address | Winter Garden, FL 34787-4524 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 09/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
684561496 | (05) | FL |