NPI | 1104851542 |
---|---|
Former Name | RENEE ELIZABETH MCFOLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT15524) |
Additional Taxonomies | 2251H1300X Physical Therapist, Human Factors |
2251X0800X Physical Therapist, Orthopedic | |
Enumeration Date | 2006-07-12 |
Last Update Date | 2007-07-08 |