NPI | 1417414590 |
---|---|
Former Name | LAUREN CHRISTINE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10007) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P19235) |
225100000X Physical Therapist (Licence: PA PT027508) | |
Enumeration Date | 2019-02-26 |
Last Update Date | 2022-11-17 |