NPI | 1255850657 |
---|---|
Former Name | EIZABETH ANSTIS ROCKWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 17413) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT015405) |
Enumeration Date | 2017-09-18 |
Last Update Date | 2022-07-22 |