NPI | 1114305885 |
---|---|
Former Name | MICHELLE ERWIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1348237) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT024159) |
Enumeration Date | 2015-05-13 |
Last Update Date | 2023-06-28 |