NPI | 1114188141 |
---|---|
Former Name | CHRISTY J MOORMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03889) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2008015435) |
Enumeration Date | 2008-06-23 |
Last Update Date | 2018-05-21 |