NPI | 1043693534 |
---|---|
Former Name | TAYLOR ELAINE RICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62711) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0013278) |
225100000X Physical Therapist (Licence: AK 100360) | |
Enumeration Date | 2015-07-02 |
Last Update Date | 2024-04-16 |