NPI | 1164621553 |
---|---|
Former Name | ERIN E MOISAN-THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 09780R) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 008137) |
225100000X Physical Therapist (Licence: IN 05010486A) | |
Enumeration Date | 2007-07-16 |
Last Update Date | 2017-10-24 |