| NPI | 1336922350 |
|---|---|
| Former Name | BETHANY PLOOF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT017657) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P23312) |
| 225100000X Physical Therapist (Licence: ND 2730) | |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2025-05-01 |