NPI | 1104884899 |
---|---|
Former Name | BETH A. GADKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT011862) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 9476) |
Enumeration Date | 2006-05-02 |
Last Update Date | 2018-10-15 |