NPI | 1255020970 |
---|---|
Former Name | COURTNEY NUNLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ CP036989T) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P22326) |
Enumeration Date | 2023-05-08 |
Last Update Date | 2024-11-07 |