NPI | 1245387018 |
---|---|
Former Name | JOANNA M HOWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 19470) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 2912) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2012-10-12 |