NPI | 1093918153 |
---|---|
Former Name | LEIGH ANNE SWAFFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 22187) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 22187) |
Enumeration Date | 2007-06-07 |
Last Update Date | 2024-03-06 |