NPI | 1467471532 |
---|---|
Former Name | SHEILA ANNE KENNEDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05006703A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 002494) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2019-06-05 |