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 |