| NPI | 1336399120 |
|---|---|
| Former Name | PATRICIA L RAGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11730) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 11730) |
| 2251S0007X Physical Therapist, Sports (Licence: NC 11730) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NC 11730) | |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |