NPI | 1194380394 |
---|---|
Former Name | MEGAN E ROBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: WA 60965278) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 4456) |
225100000X Physical Therapist (Licence: OR 62289) | |
Enumeration Date | 2019-05-03 |
Last Update Date | 2024-12-11 |