NPI | 1396474573 |
---|---|
Former Name | ALISON MICHELE WESTBERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1406828) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: SC 11335) |
Enumeration Date | 2022-06-06 |
Last Update Date | 2025-06-16 |