| NPI | 1457745705 |
|---|---|
| Former Name | COURTNEY DREW CAVANAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: CA A172896) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA A172896) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2023-10-18 |