NPI | 1265696132 |
---|---|
Former Name | ELIZABETH JAYNE ANDREWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24143) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT01891) |
Enumeration Date | 2008-07-10 |
Last Update Date | 2013-03-11 |