NPI | 1346510799 |
---|---|
Former Name | LEANNE LUNDRIGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MA 9794) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 9794) |
Enumeration Date | 2012-01-03 |
Last Update Date | 2012-01-03 |