| NPI | 1194920348 |
|---|---|
| Other Name | CHARISE LORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 001095) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 3772) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2016-09-19 |