NPI | 1235161050 |
---|---|
Former Name | KAREN ELLEN MCCLURE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MI 5501014500) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 20688) |
2251S0007X Physical Therapist, Sports (Licence: MI 5501014500) | |
2251X0800X Physical Therapist, Orthopedic (Licence: CA PT20688) | |
Enumeration Date | 2006-07-06 |
Last Update Date | 2010-05-13 |