NPI | 1184350886 |
---|---|
Former Name | MARY K LEEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22707) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT-5465) |
Enumeration Date | 2022-07-26 |
Last Update Date | 2023-11-08 |