NPI | 1417322801 |
---|---|
Former Name | CATHERINE GLASCOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AR PTA3824) |
Additional Taxonomies | 225700000X Massage Therapist |
Enumeration Date | 2015-12-10 |
Last Update Date | 2022-03-16 |