NPI | 1235297888 |
---|---|
Former Name | ERIKA KARIN MESENBOURG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25473) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305204014) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2019-11-26 |