NPI | 1417505173 |
---|---|
Former Name | CLAUDIA ELIZABETH NEAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT031271) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-08-27 |
Last Update Date | 2024-08-21 |