NPI | 1104263433 |
---|---|
Former Name | APRIL MICHELLE HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MS 5281) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7976) |
225100000X Physical Therapist (Licence: TN 9621) | |
Enumeration Date | 2013-05-28 |
Last Update Date | 2019-10-30 |