| NPI | 1407827363 |
|---|---|
| Former Name | LAUREN HOLCOMB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 7365) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS CP003489T) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2020-12-18 |