NPI | 1417222043 |
---|---|
Former Name | EILEEN ELIZABETH HILTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207306) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 27111) |
Enumeration Date | 2012-03-15 |
Last Update Date | 2021-02-04 |