| NPI | 1366653693 |
|---|---|
| Former Name | JOAN ELIZABETH FREEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11105) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 10698-24) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-08 |