NPI | 1508179912 |
---|---|
Former Name | AMBER N RADER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT 013014) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WV PT002852) |
225100000X Physical Therapist (Licence: KY PT005642) | |
Enumeration Date | 2010-07-15 |
Last Update Date | 2022-05-02 |