NPI | 1497352694 |
---|---|
Former Name | LEILA DARNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MS 6958) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NH CP024102T) |
Enumeration Date | 2020-10-01 |
Last Update Date | 2023-07-20 |