NPI | 1306078159 |
---|---|
Former Name | JULIA A SMETANA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60604173) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 6031) |
Enumeration Date | 2009-08-12 |
Last Update Date | 2020-06-09 |