NPI | 1376169011 |
---|---|
Former Name | CHANDLER TARRANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OK 5829) |
Enumeration Date | 2020-06-18 |
Last Update Date | 2024-05-01 |