| NPI | 1235180308 |
|---|---|
| Former Name | SOFIJA SEYMOUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 10982) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 6313024) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2021-12-08 |