NPI | 1003000829 |
---|---|
Former Name | MICHELLE RENEE GARTNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0012104) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070015931) |
Enumeration Date | 2007-09-05 |
Last Update Date | 2013-11-01 |