| NPI | 1316570765 |
|---|---|
| Former Name | HANNAH MARIE ENNIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10103) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC PT.10103) |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-27 |