NPI | 1053745869 |
---|---|
Former Name | ABIGAIL ALLISON SCHUNK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CO PTL-0012747) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: VT 040-0095967) |
Enumeration Date | 2013-08-28 |
Last Update Date | 2014-10-09 |