NPI | 1043890130 |
---|---|
Former Name | LAUREN MCINTOSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics |
Enumeration Date | 2021-04-12 |
Last Update Date | 2024-05-08 |