NPI | 1134143027 |
---|---|
Former Name | FARRAH RENEE DUNCAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH8362) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT 7529) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2017-03-29 |