NPI | 1124566369 |
---|---|
Former Name | AMANDA AKRIDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NC P16923) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P16923) |
Enumeration Date | 2017-02-08 |
Last Update Date | 2019-06-27 |