NPI | 1215254230 |
---|---|
Former Name | ELIZABETH A MANSFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 5796) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT0000005796) |
Enumeration Date | 2010-04-29 |
Last Update Date | 2024-07-30 |