NPI | 1336513985 |
---|---|
Former Name | AMY LYNN DAUMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 34040) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P19669) |
225100000X Physical Therapist (Licence: SC 10298) | |
2251P0200X Physical Therapist, Pediatrics (Licence: TN 10670) | |
Enumeration Date | 2015-11-19 |
Last Update Date | 2020-09-08 |