NPI | 1447430103 |
---|---|
Former Name | MEGAN T BOYLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 3880) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070011489) |
Enumeration Date | 2007-11-10 |
Last Update Date | 2011-01-18 |