| NPI | 1275854549 |
|---|---|
| Former Name | MARTHA ELIZABETH MCDANIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 4800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 10802) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2024-04-03 |