NPI | 1386747921 |
---|---|
Former Name | CHERI DIAN SHORT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070009626) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT25447) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2013-07-17 |