NPI | 1073808960 |
---|---|
Former Name | EMILY MARIE HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011116A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT26482) |
Enumeration Date | 2011-06-18 |
Last Update Date | 2014-10-02 |