NPI | 1043749732 |
---|---|
Former Name | EMILY MARIE EMERICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501020147) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2017-06-07 |
Last Update Date | 2023-02-20 |