NPI | 1194063909 |
---|---|
Former Name | LAURA DUDGEON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 005106) |
Enumeration Date | 2013-01-29 |
Last Update Date | 2019-06-27 |