NPI | 1275183048 |
---|---|
Former Name | KELLI MCGEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305214237) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501019265) |
Enumeration Date | 2019-09-13 |
Last Update Date | 2021-08-17 |