NPI | 1164481149 |
---|---|
Former Name | JUDITH LYNNE HALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 0400003288) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT11048) |
Enumeration Date | 2006-03-20 |
Last Update Date | 2007-07-08 |