NPI | 1043797251 |
---|---|
Former Name | KADI RENE JAMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1309272) |
Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: TX 1309272) |
Enumeration Date | 2018-07-20 |
Last Update Date | 2023-06-29 |