NPI | 1386959641 |
---|---|
Former Name | KARA LYNN HARNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305208537) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070018009) |
Enumeration Date | 2010-08-11 |
Last Update Date | 2014-04-28 |