NPI | 1215000161 |
---|---|
Former Name | ASHLEY MARIE FIFE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 06938) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2006-11-16 |
Last Update Date | 2021-05-19 |