NPI | 1417042151 |
---|---|
Former Name | MICHELLE M HUMMEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT10920) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT010920) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2022-11-29 |