NPI | 1316152069 |
---|---|
Former Name | THERESA R KENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: KY 44623) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2023-09-08 |