NPI | 1235287699 |
---|---|
Former Name | TRACY LYN BARNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 2590) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT 00008778) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2007-07-08 |