NPI | 1437638152 |
---|---|
Former Name | COURTNEY FALK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 15341-24) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SD 2105) |
Enumeration Date | 2018-08-13 |
Last Update Date | 2022-11-04 |