Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 9566 | NC |
Y | 2251X0800X | Physical Therapist - Orthopedic | 9566 | NC |
NPI | 1023083003 |
---|---|
Provider Name | Ms. Kristin Vernice Lloyd |
First Address | Raleigh, NC 27615-4730 |
Second Address | Raleigh, NC 27615-4730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 10/04/2012 |