NPI | 1487179578 |
---|---|
Former Name | HANNAH JOSEPHSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 2612) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 17159) |
Enumeration Date | 2017-08-09 |
Last Update Date | 2024-06-04 |