| 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 |