NPI | 1275890915 |
---|---|
Former Name | DARA FRANCES MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NH NH3699) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT4382) |
Enumeration Date | 2012-04-19 |
Last Update Date | 2023-07-14 |