Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 001425 | KY |
NPI | 1992912034 |
---|---|
Provider Name | Yvonne M Adler |
First Address | Paducah, KY 42003-8827 |
Second Address | Lacenter, KY 42056 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 08/07/2007 |