NPI | 1245743699 |
---|---|
Former Name | ALICYN MICHELLE TURNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: ID PT-6409) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05012752A) |
Enumeration Date | 2017-11-08 |
Last Update Date | 2025-04-17 |