NPI | 1295081958 |
---|---|
Former Name | LAURA LINDSAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WV PT003907) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24121) |
Enumeration Date | 2012-07-31 |
Last Update Date | 2022-10-10 |