Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 4440 | NC |
NPI | 1306030135 |
---|---|
Provider Name | Ms. Sheila M Flannery |
First Address | Pittsboro, NC 27312-8554 |
Second Address | Pittsboro, NC 27312-8554 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2007 |
Last Update Date | 15/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P00428346 | RAILROAD MEDICARE (01) | NC |