NPI | 1457697849 |
---|---|
Former Name | AMY N PHEGLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 038919) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011253) |
Enumeration Date | 2012-12-13 |
Last Update Date | 2016-11-07 |