NPI | 1386641009 |
---|---|
Former Name | SHIELA MARIE ROBISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 4804) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305005308) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2021-02-28 |