NPI | 1265861231 |
---|---|
Former Name | REBECCA HOLTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05013335A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10636PT) |
Enumeration Date | 2013-11-11 |
Last Update Date | 2019-11-12 |