NPI | 1194761650 |
---|---|
Former Name | MARY H SHEID |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 01442) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 656) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2019-12-11 |