NPI | 1316315161 |
---|---|
Former Name | LEAH A. SAMUELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209767) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1266639) |
225100000X Physical Therapist (Licence: NM 4720) | |
Enumeration Date | 2015-09-10 |
Last Update Date | 2022-05-07 |