NPI | 1467889618 |
---|---|
Former Name | LISA M SCHRAMM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070019928) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20427) |
Enumeration Date | 2013-10-02 |
Last Update Date | 2022-11-01 |