NPI | 1003391053 |
---|---|
Former Name | LAUREN ANN WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 15630-24) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070023982) |
Enumeration Date | 2018-09-26 |
Last Update Date | 2022-06-24 |