NPI | 1346644069 |
---|---|
Former Name | APRIL LYNN DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT.015096) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501016974) |
Enumeration Date | 2014-10-09 |
Last Update Date | 2017-03-09 |