| NPI | 1003237322 |
|---|---|
| Former Name | AUTUMN LYNN ABRAHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH10295) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NC P14595) |
| Enumeration Date | 2014-01-05 |
| Last Update Date | 2022-09-23 |