| NPI | 1275051872 |
|---|---|
| Former Name | CHELSEA ELIZABETH ENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0015208) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0015208) |
| Enumeration Date | 2017-09-03 |
| Last Update Date | 2021-10-12 |