NPI | 1073987830 |
---|---|
Former Name | COURTNEY MARIE HOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305211267) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02868) |
Enumeration Date | 2015-11-17 |
Last Update Date | 2022-01-25 |