NPI | 1376119131 |
---|---|
Former Name | ASHLEY ARAYA MEESUK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT031383) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305213308) |
225100000X Physical Therapist (Licence: OH PT019559) | |
Enumeration Date | 2021-06-02 |
Last Update Date | 2023-09-29 |