NPI | 1336705581 |
---|---|
Former Name | ABBY WEISENBERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 294247) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 3931) |
225100000X Physical Therapist (Licence: OH PT016542) | |
225100000X Physical Therapist (Licence: WA PT60770764) | |
Enumeration Date | 2019-05-14 |
Last Update Date | 2021-10-05 |