| NPI | 1386815405 |
|---|---|
| Former Name | AMY COLLEEN MOHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9889) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2007032189) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2014-02-04 |