NPI | 1346359718 |
---|---|
Other Name | VICTORIA EDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 0818) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 6586) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2007-07-16 |