NPI | 1477161735 |
---|---|
Former Name | CAROLINE MCCLEERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 11881200-2401) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: UT 11881200-4810) |
Enumeration Date | 2020-07-22 |
Last Update Date | 2024-08-08 |