NPI | 1285982322 |
---|---|
Former Name | MORGAN LEIGH GRUBBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 3515) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070017890) |
2251X0800X Physical Therapist, Orthopedic (Licence: NE 3515) | |
Enumeration Date | 2012-08-21 |
Last Update Date | 2024-07-09 |