| NPI | 1487227633 |
|---|---|
| Former Name | CARLA ANNETTE CUNNINGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 1804) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX CP055552T) |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2025-08-14 |