NPI | 1437652724 |
---|---|
Former Name | MORGAN SUMMER MYMON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT294220) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 294220) |
Enumeration Date | 2018-03-13 |
Last Update Date | 2021-01-25 |