NPI | 1457394660 |
---|---|
Former Name | EMILY E SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH4364) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MS 3604) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2019-10-28 |