NPI | 1104177310 |
---|---|
Former Name | ELIZABETH PAIGE KORTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0017968) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-022084) |
Enumeration Date | 2012-09-27 |
Last Update Date | 2021-12-27 |