NPI | 1457716672 |
---|---|
Former Name | CAROLINE TOOLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305211118) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 43131) |
Enumeration Date | 2015-12-15 |
Last Update Date | 2019-09-04 |