| NPI | 1356739791 |
|---|---|
| Former Name | LINDSAY MARIE TISDALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 2704) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT28521) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2023-11-27 |