NPI | 1467023671 |
---|---|
Former Name | ALEXANDRA DEE CAMMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11536) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-7283) |
Enumeration Date | 2021-07-08 |
Last Update Date | 2023-11-06 |