NPI | 1093320350 |
---|---|
Former Name | NATALIE MARIE AHLVERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1333194) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2020-09-14 |
Last Update Date | 2023-08-15 |