NPI | 1467410969 |
---|---|
Former Name | AMY RENAE WOODWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT3683) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT7982) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2023-05-30 |