Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT012060L | PA |
NPI | 1003303462 |
---|---|
Provider Name | Rosemary T Prego |
First Address | York, PA 17402-4723 |
Second Address | York, PA 17408-8549 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2018 |
Last Update Date | 23/07/2020 |