NPI | 1477034247 |
---|---|
Former Name | HANNAH DAUBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT030940) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
2255A2300X Specialist/Technologist, Athletic Trainer | |
Enumeration Date | 2018-08-28 |
Last Update Date | 2023-11-21 |