NPI | 1184911018 |
---|---|
Former Name | MICHELLE D RIETMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010644A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 005833) |
Enumeration Date | 2011-06-29 |
Last Update Date | 2018-11-09 |