NPI | 1396181541 |
---|---|
Former Name | SUMMER MARIE PRICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 14215) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NC 14215) |
Enumeration Date | 2013-05-15 |
Last Update Date | 2018-02-19 |