Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 2223 | HI |
NPI | 1124234133 |
---|---|
Provider Name | Sheryl L Carter |
First Address | Wailuku, HI 96793-2038 |
Second Address | Makawao, HI 96768-8895 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 19/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000251892 | HMSA (01) | HI |