NPI | 1306295696 |
---|---|
Former Name | MARTHA A ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 22934) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 291092) |
Enumeration Date | 2016-06-07 |
Last Update Date | 2019-01-14 |