NPI | 1235259854 |
---|---|
Former Name | ANDREA REINEKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0013206) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070015671) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2021-05-20 |