NPI | 1174021034 |
---|---|
Former Name | ERIN ADELAIDE TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT020558) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT006220) |
Enumeration Date | 2018-01-25 |
Last Update Date | 2025-08-25 |