NPI | 1275710568 |
---|---|
Former Name | SHARON DENISE BURRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: LA A3947R) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2002507) |
Enumeration Date | 2008-01-29 |
Last Update Date | 2008-01-29 |