NPI | 1467882084 |
---|---|
Former Name | LAURA HADLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT3790) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037558) |
Enumeration Date | 2013-11-18 |
Last Update Date | 2019-03-05 |