NPI | 1134186869 |
---|---|
Other Name | BECKI ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 1600005684) |
Additional Taxonomies | 174400000X Specialist (Licence: IL 096000570) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2016-08-10 |