NPI | 1477749562 |
---|---|
Former Name | MICHELLE TERESE ARMSTRONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2006039083) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 9775) |
225100000X Physical Therapist (Licence: CA PT293871) | |
Enumeration Date | 2007-09-21 |
Last Update Date | 2019-05-07 |