NPI | 1124542469 |
---|---|
Former Name | MEGAN CASSIE GARVEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 13829-24) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 13829) |
Enumeration Date | 2017-07-28 |
Last Update Date | 2021-08-31 |