NPI | 1245434398 |
---|---|
Former Name | INJIN LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 28592) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT28592) |
Enumeration Date | 2007-06-13 |
Last Update Date | 2010-04-22 |