NPI | 1336322726 |
---|---|
Former Name | NICHOLE MICHELLE HODSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 23815) |
Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: CA 23815) |
Enumeration Date | 2007-12-10 |
Last Update Date | 2022-10-20 |