NPI | 1427393214 |
---|---|
Former Name | MARY ELIZABETH CULLITON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24291) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0002935) |
Enumeration Date | 2012-12-05 |
Last Update Date | 2013-02-19 |