NPI | 1174200844 |
---|---|
Former Name | ERIN MOELLENHOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2023033062) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2023026343) |
Enumeration Date | 2023-07-03 |
Last Update Date | 2023-12-30 |