NPI | 1346545670 |
---|---|
Former Name | CATHERINE LUCILLE WYMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172M00000X Mechanotherapist (Licence: CT 1114) |
Additional Taxonomies | 172M00000X Mechanotherapist (Licence: PA TEI000164) |
172M00000X Mechanotherapist (Licence: VA 2306601364) | |
Enumeration Date | 2011-01-18 |
Last Update Date | 2011-01-18 |