NPI | 1033317094 |
---|---|
Former Name | BETHANY PAIGE RITTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 33771) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NC 13100) |
Enumeration Date | 2007-07-10 |
Last Update Date | 2014-11-18 |