NPI | 1285873968 |
---|---|
Former Name | ERIN MARIE GOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH6612) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305205740) |
Enumeration Date | 2009-02-19 |
Last Update Date | 2022-01-11 |