NPI | 1003171489 |
---|---|
Former Name | REBECCA DUFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 005243) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 3126) |
Enumeration Date | 2012-07-11 |
Last Update Date | 2013-10-21 |