NPI | 1376143586 |
---|---|
Former Name | IRENE MORROW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: OR 63828) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 63828) |
Enumeration Date | 2020-10-27 |
Last Update Date | 2024-04-02 |