Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 11759 | MA |
NPI | 1023164290 |
---|---|
Provider Name | Ms. Kristen Lyle Rohrer |
First Address | Florence, MA 01062-1499 |
Second Address | Florence, MA 01062-1499 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2007 |
Last Update Date | 08/07/2007 |