NPI | 1487388948 |
---|---|
Former Name | ALANNAH J BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 11958) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 64448) |
Enumeration Date | 2022-07-12 |
Last Update Date | 2023-08-24 |