NPI | 1497001168 |
---|---|
Former Name | SHERYL RACHELLE KOHLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25010) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT022023) |
Enumeration Date | 2012-07-31 |
Last Update Date | 2023-01-11 |