NPI | 1154834349 |
---|---|
Former Name | ADRIENNE MAE CARRIERE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH10578) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 09839) |
Enumeration Date | 2017-11-09 |
Last Update Date | 2025-02-28 |