NPI | 1033243506 |
---|---|
Former Name | MARGARET THERESE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.006239) |
Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: IL 070.006239) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2007-07-08 |