| NPI | 1194087213 |
|---|---|
| Former Name | AMBER MANVILLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 012131) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CT 1234) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2024-01-08 |