| NPI | 1366568289 |
|---|---|
| Former Name | CARRIE DUGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 10656024) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2021-08-10 |