NPI | 1467768895 |
---|---|
Former Name | MEGAN KELLY GILBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT001874) |
225100000X Physical Therapist (Licence: PA PT018193) | |
Enumeration Date | 2010-08-23 |
Last Update Date | 2018-03-17 |