| NPI | 1477079622 |
|---|---|
| Former Name | CHRISTINE MOSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040.0134112) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 4250) |
| Enumeration Date | 2017-08-19 |
| Last Update Date | 2024-10-30 |