NPI | 1316999360 |
---|---|
Former Name | LISA ANNE LOWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 5071) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 3498) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2020-02-19 |