NPI | 1003363318 |
---|---|
Former Name | NAOMI WOODCOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 011834) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60690875) |
Enumeration Date | 2016-09-02 |
Last Update Date | 2019-08-30 |