NPI | 1093020208 |
---|---|
Former Name | MARSHA FRASIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1314682) |
Additional Taxonomies | 174H00000X Health Educator |
2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT2892) | |
Enumeration Date | 2010-08-11 |
Last Update Date | 2019-02-08 |