NPI | 1164842498 |
---|---|
Former Name | ALEXANDRIA CYNTHIA ADKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 19922) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 12371-24) |
Enumeration Date | 2014-04-25 |
Last Update Date | 2024-06-17 |