NPI | 1154399681 |
---|---|
Former Name | BERNADETTE NOONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT24294) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17352) |
Enumeration Date | 2006-03-10 |
Last Update Date | 2023-12-22 |