NPI | 1073014767 |
---|---|
Former Name | ALEXANDRIA BROOKE HAYS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05012956A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501017841) |
Enumeration Date | 2018-02-27 |
Last Update Date | 2024-07-09 |