NPI | 1033712518 |
---|---|
Former Name | MEGAN HOWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 13150) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2020-11-18 |
Last Update Date | 2021-06-09 |