NPI | 1437290988 |
---|---|
Former Name | SHANNON MCQUOID / THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT04088) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 2570) |
Enumeration Date | 2007-02-09 |
Last Update Date | 2023-06-05 |