NPI | 1508178500 |
---|---|
Former Name | CHRISTINE R ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070017976) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2010-07-07 |
Last Update Date | 2015-03-02 |