NPI | 1366617326 |
---|---|
Former Name | SHARON E VERBETEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.005118) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 3180-24) |
Enumeration Date | 2008-04-29 |
Last Update Date | 2008-04-29 |