NPI | 1205223872 |
---|---|
Former Name | PAIGE NORBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AL 52622) |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: MA 21002) |
Enumeration Date | 2015-04-22 |
Last Update Date | 2017-11-01 |