NPI | 1376612614 |
---|---|
Former Name | KATHERINE GREENWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11294) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT008627) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2011-10-26 |