NPI | 1215047329 |
---|---|
Former Name | SCOTTIE LIN SCHMALZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT1977) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 62346792401) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2023-01-26 |