NPI | 1174630255 |
---|---|
Former Name | PENELOPE HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00009296) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 4351) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2022-03-07 |