NPI | 1144606831 |
---|---|
Former Name | ALLISON WIEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT024507) |
Enumeration Date | 2015-08-04 |
Last Update Date | 2019-05-20 |