| NPI | 1447537485 |
|---|---|
| Former Name | REBECCA LEE STOCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT02470) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 19131) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2021-03-01 |