| NPI | 1124638234 |
|---|---|
| Former Name | TARYN THOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05013835A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH9995) |
| 225100000X Physical Therapist (Licence: TN CP026436T) | |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2024-01-04 |