NPI | 1366058216 |
---|---|
Former Name | LEIGHA TATE NOEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1371292) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01944600) |
Enumeration Date | 2020-09-16 |
Last Update Date | 2022-12-20 |