NPI | 1275365587 |
---|---|
Former Name | STEPHANIE LYNNE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23591) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC CP033228T) |
225100000X Physical Therapist (Licence: TN 14481) | |
Enumeration Date | 2024-08-15 |
Last Update Date | 2024-09-26 |