NPI | 1366756132 |
---|---|
Former Name | GINA C MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-012315) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070012315) |
Enumeration Date | 2010-08-03 |
Last Update Date | 2016-03-01 |