NPI | 1073860573 |
---|---|
Former Name | EMILY KAY GROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 06980) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60288377) |
Enumeration Date | 2012-08-14 |
Last Update Date | 2022-07-21 |