| NPI | 1427096312 |
|---|---|
| Former Name | SHELLEY L REGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: AZ LPT-006669) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6669) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2019-09-16 |