NPI | 1063429462 |
---|---|
Former Name | AMANDA M CROWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 10010) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 10335) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2024-01-25 |