NPI | 1306191838 |
---|---|
Former Name | ABBEY MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 32211) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 4158) |
Enumeration Date | 2012-07-20 |
Last Update Date | 2017-01-26 |