Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | ||
Y | 2251G0304X | Physical Therapist - Geriatrics | 0217541 | NY |
N | 2251N0400X | Physical Therapist - Neurology |
NPI | 1184891822 |
---|---|
Provider Name | Ms. Marilyn E Rees |
First Address | Fayetteville, NY 13066-1217 |
Second Address | Fayetteville, NY 13066-1217 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2008 |
Last Update Date | 12/05/2008 |