NPI | 1205273265 |
---|---|
Former Name | CHRISTINE A GORDEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011186A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 99057299A) |
Enumeration Date | 2013-05-31 |
Last Update Date | 2015-08-10 |