NPI | 1427491091 |
---|---|
Former Name | MEGAN GRIFFIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 26019) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 13883) |
Enumeration Date | 2013-04-12 |
Last Update Date | 2019-03-18 |