| NPI | 1073360111 |
|---|---|
| Former Name | MADISON WALKUP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT210002485) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT41581) |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-09-05 |