NPI | 1023240363 |
---|---|
Former Name | EMILY JEAN DZIRNIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501302293) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT8483) |
Enumeration Date | 2009-08-20 |
Last Update Date | 2023-12-16 |