| NPI | 1407259666 |
|---|---|
| Former Name | LAUREN NICOLE GOLLIDAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25551) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0003034) |
| 225100000X Physical Therapist (Licence: SC 8594) | |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2020-06-06 |