NPI | 1245547546 |
---|---|
Former Name | TRACEY ROSE MCDERMOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA1240300) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 018849) |
Enumeration Date | 2010-09-08 |
Last Update Date | 2010-09-08 |