NPI | 1184744914 |
---|---|
Former Name | ISABEL IRENE CAMPBELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207066) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1173719) |
225100000X Physical Therapist (Licence: FL PT25321) | |
Enumeration Date | 2007-03-29 |
Last Update Date | 2012-09-26 |