| 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 |