NPI | 1396090122 |
---|---|
Former Name | MARY BETH OZMENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19473) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305214493) |
225100000X Physical Therapist | |
Enumeration Date | 2012-07-18 |
Last Update Date | 2024-07-17 |