NPI | 1306852223 |
---|---|
Former Name | BARBARA LYNN BEARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT4465) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 1153) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2009-06-03 |