| NPI | 1225503154 |
|---|---|
| Former Name | SHELBY PENDERGRAFT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212293) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 27181) |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2024-03-22 |