Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT005597L | PA |
NPI | 1003187931 |
---|---|
Provider Name | Theresa C Rill |
First Address | York, PA 17403-5170 |
Second Address | York, PA 17403-5170 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2012 |
Last Update Date | 24/01/2012 |