| NPI | 1003881079 |
|---|---|
| Former Name | AMY E WINDRUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 024244-1) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: NY 000607-1) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2007-07-08 |