Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | 809 | VA |
NPI | 1689612715 |
---|---|
Provider Name | Ms. Ruth Irene Meyer |
First Address | Charlottesville, VA 22901-2243 |
Second Address | Charlottesville, VA 22901-2243 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 20/07/2007 |