| NPI | 1164479721 |
|---|---|
| Former Name | BETTY LOVE RAGON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CPO39665T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 632) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: VA CPO39665T) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2025-04-14 |