NPI | 1225193345 |
---|---|
Former Name | LAURA M HADEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 3949) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 03949) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2010-09-28 |