NPI | 1306092143 |
---|---|
Former Name | ROBYN M PHILLIPS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 6195) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT34813) |
Enumeration Date | 2008-08-12 |
Last Update Date | 2010-12-06 |