NPI | 1396975215 |
---|---|
Former Name | LYNN MARCELLA RUSHING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206084) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
Enumeration Date | 2009-07-27 |
Last Update Date | 2020-10-10 |