NPI | 1457602997 |
---|---|
Former Name | RACHEL MARIE BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05012317A) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06004285A) |
Enumeration Date | 2012-09-24 |
Last Update Date | 2022-06-01 |