NPI | 1043997448 |
---|---|
Former Name | BAILEY CIARRA JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0019311) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTLP.0000292) |
Enumeration Date | 2023-06-28 |
Last Update Date | 2025-02-06 |