NPI | 1457472714 |
---|---|
Former Name | CHRISTEL H JOHNSON-RAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1167680) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 114893) |
225100000X Physical Therapist (Licence: KS 11-03019) | |
Enumeration Date | 2007-04-03 |
Last Update Date | 2015-08-12 |