| NPI | 1164605168 |
|---|---|
| Former Name | LAUREN MARIE WHITEHOUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: UT 8142501-2401) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1168746) |
| 2251S0007X Physical Therapist, Sports (Licence: TX 1168746) | |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2012-01-30 |