NPI | 1154790178 |
---|---|
Former Name | EMILY ELIZABETH LOCKHART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT34544) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 13022) |
225100000X Physical Therapist (Licence: IL 070021764) | |
Enumeration Date | 2015-09-21 |
Last Update Date | 2019-12-09 |