NPI | 1134416233 |
---|---|
Former Name | ABIGAIL L. WAY |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011132A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 13239) |
Enumeration Date | 2011-07-09 |
Last Update Date | 2018-11-28 |