| NPI | 1336631019 |
|---|---|
| Former Name | MAEVE C THOMASSIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 16899) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 09967) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2020-05-27 |