| NPI | 1275885550 |
|---|---|
| Former Name | RACHEL VICTORIA MULLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 3086) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60295390) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2016-10-21 |