| NPI | 1235406182 |
|---|---|
| Former Name | MEREDITH MICHELE WAHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: 1207768) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 39820) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2018-03-17 |