NPI | 1164453197 |
---|---|
Former Name | LINDSAY R LORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT2519) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 2713) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2007-07-08 |