NPI | 1124282215 |
---|---|
Former Name | STEPHANIE J RODMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1507) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 052116) |
225100000X Physical Therapist (Licence: PA PT032167) | |
225100000X Physical Therapist (Licence: IL 70.028164) | |
225100000X Physical Therapist | |
225100000X Physical Therapist (Licence: MN 12491) | |
Enumeration Date | 2008-07-17 |
Last Update Date | 2024-07-30 |