NPI | 1295080026 |
---|---|
Former Name | LAUREN ASHELY ENGLEBRECHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT27490) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2012-07-18 |
Last Update Date | 2023-12-04 |