NPI | 1285187054 |
---|---|
Former Name | RORY REESE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: GA PT016282) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 8142) |
Enumeration Date | 2016-07-28 |
Last Update Date | 2022-12-01 |