NPI | 1215025861 |
---|---|
Other Name | EMILY CHRISTINE CARLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 2123) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 33130) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2024-06-04 |