NPI | 1083648638 |
---|---|
Former Name | TERESA ANN LEMM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-013750) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 8853) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2018-09-12 |