Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT22945 | FL |
NPI | 1013145721 |
---|---|
Provider Name | Nancy B Mccluskey |
First Address | Encinitas, CA 92024-2904 |
Second Address | Encinitas, CA 92024-2904 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2009 |
Last Update Date | 07/12/2009 |