NPI | 1275656555 |
---|---|
Former Name | AMY L. PREST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT29381) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 29381) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2012-01-19 |