| NPI | 1336635630 |
|---|---|
| Former Name | EMMA REISIG HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501018016) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 015028) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |