NPI | 1124253620 |
---|---|
Former Name | LINDSAY BAUER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25926) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070016882) |
Enumeration Date | 2009-05-27 |
Last Update Date | 2019-10-16 |