NPI | 1275101420 |
---|---|
Former Name | ALLISON JANE SILVIUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008066) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05013824A) |
Enumeration Date | 2021-06-15 |
Last Update Date | 2023-11-13 |