NPI | 1306592126 |
---|---|
Former Name | JULIA PATTERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008802) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 4781) |
Enumeration Date | 2022-03-02 |
Last Update Date | 2024-01-31 |