NPI | 1114113370 |
---|---|
Former Name | ANNETTE GROETZL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1228520) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.015951) |
Enumeration Date | 2007-09-21 |
Last Update Date | 2024-06-05 |