| NPI | 1184234320 |
|---|---|
| Former Name | EMILY DICKERHOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014878) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: TN 12757) | |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2021-06-17 |