NPI | 1437350162 |
---|---|
Former Name | PAMELA MARIE KENNARD-HILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT006964) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 14030) |
225100000X Physical Therapist (Licence: AZ 12667) | |
Enumeration Date | 2007-05-30 |
Last Update Date | 2019-09-23 |