NPI | 1346998259 |
---|---|
Former Name | JULIA LORAINE VOLK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 16695-24) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070026076) |
Enumeration Date | 2022-03-10 |
Last Update Date | 2025-04-15 |