NPI | 1033200381 |
---|---|
Former Name | LESLEY ANN MCSHEA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3321) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17707) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2020-05-09 |