NPI | 1447649660 |
---|---|
Former Name | REBECCA ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH6458) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AL 3490) |
Enumeration Date | 2015-01-12 |
Last Update Date | 2020-10-05 |