NPI | 1275976219 |
---|---|
Former Name | MEGAN ELIZABETH HIXSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT011827) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH6733) |
Enumeration Date | 2013-04-09 |
Last Update Date | 2024-12-12 |