NPI | 1356824577 |
---|---|
Former Name | CHELSEA DYSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AK 130857) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60761093) |
Enumeration Date | 2018-09-13 |
Last Update Date | 2020-12-10 |