| NPI | 1346288834 |
|---|---|
| Former Name | PAMELA LOUISE FLETCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 0400089086) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0093531) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2014-08-21 |