| NPI | 1407365133 |
|---|---|
| Former Name | LIDNSAY REGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27554) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT026271) |
| 225100000X Physical Therapist (Licence: NY 049054) | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2024-06-11 |