NPI | 1114574860 |
---|---|
Former Name | LINDSEY HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03204) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 24889) |
Enumeration Date | 2019-08-19 |
Last Update Date | 2024-08-20 |