| NPI | 1275655532 |
|---|---|
| Former Name | COLLEEN WESCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01160500) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NJ 40QA01160500) |
| 225100000X Physical Therapist (Licence: MD 22009) | |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2012-08-07 |