| NPI | 1063805000 |
|---|---|
| Former Name | ALICE D ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216975) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 011531) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2025-04-17 |