NPI | 1053892893 |
---|---|
Former Name | TAYLOR ANNE MARSHALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9705) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P20822) |
Enumeration Date | 2018-08-28 |
Last Update Date | 2024-12-13 |