| NPI | 1114463130 |
|---|---|
| Former Name | ERIN HABERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1799) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 2930) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-01-13 |