NPI | 1346575453 |
---|---|
Former Name | TARRA E WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 02333) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070011010) |
Enumeration Date | 2009-10-07 |
Last Update Date | 2018-03-17 |