NPI | 1275005803 |
---|---|
Former Name | ASHLEY TAKASHIMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05014137A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070024132) |
Enumeration Date | 2018-12-20 |
Last Update Date | 2024-12-30 |