NPI | 1003472630 |
---|---|
Former Name | NORMAJEAN DRISCOLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 162922) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WY PT-1866) |
Enumeration Date | 2019-05-20 |
Last Update Date | 2021-06-24 |