| NPI | 1396761995 |
|---|---|
| Former Name | MAUREEN TAMARA VAN HORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 1931) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 1931PT) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2009-11-23 |