NPI | 1073098463 |
---|---|
Former Name | KAELA ANN MURPHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ME 5276) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23792) |
Enumeration Date | 2018-10-01 |
Last Update Date | 2024-10-31 |