NPI | 1336190206 |
---|---|
Former Name | ELIZABETH L BIRD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3518) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT017225) |
225100000X Physical Therapist (Licence: MA 16574) | |
Enumeration Date | 2006-05-15 |
Last Update Date | 2015-10-07 |