NPI | 1508181546 |
---|---|
Former Name | SHAWNDI L WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 4245) |
Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: OR 4245) |
Enumeration Date | 2010-04-01 |
Last Update Date | 2013-10-24 |