NPI | 1104924125 |
---|---|
Former Name | SONYA M FALSNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305005005) |
Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: VA 2305005005) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2022-10-19 |