NPI | 1407227622 |
---|---|
Former Name | LESLIE PERKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 045356) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 10574) |
Enumeration Date | 2015-10-14 |
Last Update Date | 2019-12-04 |