| NPI | 1184865610 |
|---|---|
| Former Name | GRETA LYNN HALBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501014332) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI L1492919) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2014-10-03 |