NPI | 1174760425 |
---|---|
Former Name | CHEMAR I SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 9433) |
Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: GA 9433) |
Enumeration Date | 2009-01-08 |
Last Update Date | 2009-01-08 |