| NPI | 1427132893 |
|---|---|
| Former Name | TRICIA LYNN MCDANIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 18973) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: CA PT 30395) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2011-04-07 |