NPI | 1467764746 |
---|---|
Former Name | KARISSA BEECHEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT020628) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT004026) |
Enumeration Date | 2010-07-02 |
Last Update Date | 2022-03-17 |