NPI | 1154622496 |
---|---|
Former Name | LEA SCHULTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 012760) |
Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: OH 012760) |
Enumeration Date | 2010-11-03 |
Last Update Date | 2010-11-03 |