| NPI | 1134545254 |
|---|---|
| Former Name | MARJORIE SHERYL MINER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 60863) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 009442-1) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2018-11-06 |