| NPI | 1366424608 |
|---|---|
| Former Name | ERIN K WORMUTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305004031) |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2022-03-16 |