NPI | 1184221475 |
---|---|
Former Name | LAURAN HELLBUSCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 2395) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 12071) |
Enumeration Date | 2020-10-08 |
Last Update Date | 2023-10-16 |