NPI | 1013070481 |
---|---|
Former Name | MICHELLE SNYDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 36038) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 2467) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2018-03-17 |