NPI | 1285755389 |
---|---|
Former Name | ANN M KNOBLOCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 7622) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.019683) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2020-12-08 |