NPI | 1437249356 |
---|---|
Former Name | LEIGH MARIE SWEARENGIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 4102) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-03630) |
2255A2300X Specialist/Technologist, Athletic Trainer (Licence: KS 24-00522) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2016-08-10 |