| NPI | 1437578911 |
|---|---|
| Former Name | MAIDA HARMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 030573) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 24395) |
| 225100000X Physical Therapist (Licence: SC 7088) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2021-12-02 |