NPI | 1033268511 |
---|---|
Former Name | THERESA ANN LYNCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 4661) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 8112) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2016-04-29 |