NPI | 1083041362 |
---|---|
Former Name | HOLLY LAURA STABILIT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT022913) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL 28741) |
2251X0800X Physical Therapist, Orthopedic | |
Enumeration Date | 2013-10-02 |
Last Update Date | 2022-03-01 |