NPI | 1114159803 |
---|---|
Former Name | ASHLEY CHANDLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 8568) |
Additional Taxonomies | 174400000X Specialist (Licence: AZ 8568) |
Enumeration Date | 2009-08-14 |
Last Update Date | 2014-02-04 |