NPI | 1033663877 |
---|---|
Former Name | ANA MARI PARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0018829) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P19534) |
2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC 2906) | |
Enumeration Date | 2016-08-10 |
Last Update Date | 2022-12-28 |