NPI | 1245480177 |
---|---|
Former Name | AMANDA MICHELE SHUFFLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: HI 5743) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1189508) |
2251X0800X Physical Therapist, Orthopedic (Licence: MI 5501013684) | |
Enumeration Date | 2008-09-29 |
Last Update Date | 2023-07-24 |