NPI | 1467640342 |
---|---|
Former Name | DANA PELLETIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60147275) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 7843) |
225100000X Physical Therapist (Licence: OR 6815) | |
Enumeration Date | 2007-10-04 |
Last Update Date | 2016-02-23 |