NPI | 1265814388 |
---|---|
Former Name | EMILY ELIZABETH WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25576) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RT005245) |
Enumeration Date | 2015-06-25 |
Last Update Date | 2021-08-10 |