NPI | 1043502917 |
---|---|
Former Name | MEREDITH TENEROW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J10002685) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05010777A) |
Enumeration Date | 2011-05-10 |
Last Update Date | 2024-11-26 |