NPI | 1396355491 |
---|---|
Former Name | DANA MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 12875) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2020-08-04 |
Last Update Date | 2023-08-22 |