NPI | 1427252949 |
---|---|
Former Name | CAMELIA MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX N0989) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TN 43432) |
Enumeration Date | 2007-06-11 |
Last Update Date | 2009-06-10 |