| NPI | 1245556943 |
|---|---|
| Former Name | LORI GRUBBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY 1487) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 2159) |
| 225100000X Physical Therapist (Licence: AK 396) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2019-04-15 |