| NPI | 1356513436 |
|---|---|
| Former Name | ABIGAIL SIMMONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11205-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-016315) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2011-03-14 |