| NPI | 1093711590 |
|---|---|
| Former Name | ALICE COBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 8305) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2019-05-31 |