| NPI | 1306598420 |
|---|---|
| Former Name | AMY ELIZABETH CHAPPELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2020034015) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IA 091027) |
| 225200000X Physical Therapy Assistant (Licence: IL 160007967) | |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-01-20 |