Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 22039 | FL |
NPI | 1003131905 |
---|---|
Provider Name | Zohara Danan |
First Address | Wellington, FL 33414-3490 |
Second Address | Royal Palm Beach, FL 33411-5184 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2010 |
Last Update Date | 02/04/2010 |