| NPI | 1437437894 |
|---|---|
| Former Name | CARLA MARIE HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501015677) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 11835-24) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2014-03-17 |