NPI | 1497898290 |
---|---|
Former Name | SHANNON R FLURRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03534) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2005026639) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2018-03-17 |