NPI | 1164094694 |
---|---|
Former Name | JANA MCEWEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH11079) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1349477) |
Enumeration Date | 2021-07-14 |
Last Update Date | 2022-11-30 |