| NPI | 1043481534 |
|---|---|
| Former Name | LORIELLE MCQUEEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014074) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501013614) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2020-09-22 |