NPI | 1386085330 |
---|---|
Former Name | ANN LOUISE STROUTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.021121) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10110) |
Enumeration Date | 2013-07-07 |
Last Update Date | 2015-08-06 |