NPI | 1437565462 |
---|---|
Former Name | ANN MARIE GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501303462) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60449782) |
Enumeration Date | 2014-07-10 |
Last Update Date | 2024-08-27 |