| NPI | 1316242282 |
|---|---|
| Former Name | ANNA LESLIE ENGLUND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60317715) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033181) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2013-01-23 |