NPI | 1114305489 |
---|---|
Former Name | JANET BLUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 13308197-2401) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1126795) |
Enumeration Date | 2015-05-07 |
Last Update Date | 2025-10-07 |