NPI | 1104806017 |
---|---|
Former Name | STEPHANIE M ORTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 010535) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: OH PT10535) |
Enumeration Date | 2006-01-18 |
Last Update Date | 2016-03-25 |