Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 05011287A | IN |
NPI | 1396169504 |
---|---|
Provider Name | Najmeh Hoseini |
First Address | Bloomington, IN 47405-7109 |
Second Address | Bloomington, IN 47405-7109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2014 |
Last Update Date | 07/02/2014 |