NPI | 1164756060 |
---|---|
Former Name | LINDSY R TRIBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60291169) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 8682) |
225100000X Physical Therapist (Licence: OR 6412) | |
Enumeration Date | 2009-09-24 |
Last Update Date | 2014-09-18 |