NPI | 1215244066 |
---|---|
Former Name | EMILY BROOKE LENDERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT4369) |
Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: MS 4369) |
Enumeration Date | 2010-08-31 |
Last Update Date | 2020-10-05 |