NPI | 1174841688 |
---|---|
Former Name | MICHELLE R COUPLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2278) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 12620) |
Enumeration Date | 2010-05-07 |
Last Update Date | 2016-06-13 |