NPI | 1154878155 |
---|---|
Former Name | NATALIE ANN STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 61735) |
Additional Taxonomies | 174H00000X Health Educator |
Enumeration Date | 2016-09-07 |
Last Update Date | 2020-02-02 |