| NPI | 1225573140 |
|---|---|
| Former Name | WHITNEY FIELDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 16117) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 006825) |
| Enumeration Date | 2017-01-01 |
| Last Update Date | 2018-04-09 |