| NPI | 1104054626 |
|---|---|
| Former Name | RACHEL DURHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 60451000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 10176) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2015-07-03 |