NPI | 1124147392 |
---|---|
Former Name | ERIKA MICHELLE TULLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1147357) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: TX 1147357) |
2251N0400X Physical Therapist, Neurology (Licence: TX 1147357) | |
Enumeration Date | 2007-03-28 |
Last Update Date | 2025-04-18 |