NPI | 1467649996 |
---|---|
Former Name | MICHELE CREAMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 21900) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT010036L) |
Enumeration Date | 2007-09-28 |
Last Update Date | 2021-12-13 |