| NPI | 1265643647 |
|---|---|
| Former Name | BERTIE SUE RESINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 0872) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT002140L) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-08 |