| NPI | 1235179847 |
|---|---|
| Former Name | PATRICIA GAYLE HEDRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 00933) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2020042536) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2021-04-27 |