NPI | 1417503640 |
---|---|
Former Name | HANNAH BARRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-27007) |
Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: MT PTP-PT-LIC-27007) |
Enumeration Date | 2019-08-13 |
Last Update Date | 2023-08-18 |