NPI | 1467110700 |
---|---|
Former Name | KAREN ELIZABETH THATCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501302707) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT37776) |
Enumeration Date | 2021-12-03 |
Last Update Date | 2023-08-25 |