NPI | 1205244373 |
---|---|
Former Name | SHELBY VAUX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 10114) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 006815) |
Enumeration Date | 2014-08-01 |
Last Update Date | 2019-02-08 |