NPI | 1023573516 |
---|---|
Other Name | GRACIE GLOVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT37393) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH9281) |
Enumeration Date | 2019-02-08 |
Last Update Date | 2022-01-20 |