NPI | 1073882858 |
---|---|
Former Name | ASHLEY M WIDDOP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070018969) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004931) |
Enumeration Date | 2011-12-22 |
Last Update Date | 2013-05-03 |