| NPI | 1346968856 |
|---|---|
| Former Name | AMY UNDERWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 022437) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-11-09 |