NPI | 1154519536 |
---|---|
Former Name | ALLISON ROSE GIBB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 035638) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01260300) |
Enumeration Date | 2007-10-10 |
Last Update Date | 2021-03-10 |