NPI | 1225067754 |
---|---|
Former Name | MICHELLE TYLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT015379) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT000033) |
227900000X Respiratory Therapist, Registered (Licence: PA RT003029) | |
Enumeration Date | 2006-06-30 |
Last Update Date | 2022-09-16 |