| NPI | 1386146413 |
|---|---|
| Former Name | REBECCA NICHOLE BIBB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 294263) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2024-07-30 |