Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 32742 | FL |
NPI | 1386100626 |
---|---|
Provider Name | Tamara Sosnick Orr |
First Address | Parkland, FL 33076-4709 |
Second Address | Boca Raton, FL 33433-7166 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2019 |
Last Update Date | 12/02/2019 |