NPI | 1144552381 |
---|---|
Former Name | JOYANN FRIES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 36787) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17326) |
Enumeration Date | 2010-02-12 |
Last Update Date | 2011-09-22 |