NPI | 1013326552 |
---|---|
Former Name | ALLISON EDLUND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: IN 05011466a) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05011466a) |
Enumeration Date | 2014-08-08 |
Last Update Date | 2018-11-29 |