NPI | 1114015955 |
---|---|
Former Name | CARI A ROSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: 21542) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 21542) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2017-02-23 |