| NPI | 1275942120 |
|---|---|
| Former Name | RACHEL HADDOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 006446) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 10282) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2022-10-04 |