NPI | 1477735090 |
---|---|
Former Name | BEVERLY NICOLE ARNOLD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 002659) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT010133) |
225100000X Physical Therapist (Licence: FL PT30196) | |
Enumeration Date | 2007-12-05 |
Last Update Date | 2021-06-25 |