NPI | 1417612284 |
---|---|
Former Name | HANNAH RENEE LITTLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008503) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1354657) |
Enumeration Date | 2021-11-05 |
Last Update Date | 2022-09-08 |