| NPI | 1003071291 |
|---|---|
| Former Name | CLARISSA THURMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT011676L) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT011676L) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2015-11-30 |