NPI | 1023524717 |
---|---|
Former Name | FATIMA HUSSAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013204) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: GA PT013204) |
Enumeration Date | 2017-12-18 |
Last Update Date | 2023-04-30 |