| NPI | 1124323423 |
|---|---|
| Former Name | ALLISON THEEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: OR 5432) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 5432) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2018-09-18 |