NPI | 1275849176 |
---|---|
Former Name | LINDSEY GERRITS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501017147) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-018185) |
Enumeration Date | 2010-08-30 |
Last Update Date | 2015-05-07 |