NPI | 1194911560 |
---|---|
Former Name | CHERRI S WILLSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: DC PT870593) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT870593) |
Enumeration Date | 2007-09-19 |
Last Update Date | 2008-11-05 |