NPI | 1083016851 |
---|---|
Former Name | MEREDITH DIANE TURNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-04764) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2014030406) |
Enumeration Date | 2014-09-23 |
Last Update Date | 2019-01-02 |