| NPI | 1396944849 |
|---|---|
| Former Name | MARY ELLEN LARIMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 011783) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 005112) |
| Enumeration Date | 2007-07-15 |
| Last Update Date | 2022-08-26 |