| NPI | 1063766822 |
|---|---|
| Former Name | TERESA LYNN PAINTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT.015182) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT27889) |
| 225100000X Physical Therapist (Licence: GA PT010871) | |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2015-10-19 |