NPI | 1215173018 |
---|---|
Former Name | ALLISON MEISCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA055362) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 16767) |
Enumeration Date | 2008-12-29 |
Last Update Date | 2020-03-16 |