NPI | 1164869368 |
---|---|
Former Name | AMBER E WEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH 08274) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH 3000) |
Enumeration Date | 2013-05-29 |
Last Update Date | 2015-02-23 |