NPI | 1245436708 |
---|---|
Former Name | REBEKAH REIFSNYDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WY PT-1388) |
Additional Taxonomies | 174400000X Specialist (Licence: CA 33729) |
Enumeration Date | 2007-06-22 |
Last Update Date | 2011-11-19 |