NPI | 1427141720 |
---|---|
Former Name | KAREN REBECCA BOTTERILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12138) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18110) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2025-02-05 |