NPI | 1386950475 |
---|---|
Former Name | MAUREEN KENDRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 17910) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305205231) |
Enumeration Date | 2010-08-26 |
Last Update Date | 2022-04-20 |