NPI | 1508210022 |
---|---|
Former Name | ANGELA NECHELE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT25143) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT012151) |
Enumeration Date | 2016-04-21 |
Last Update Date | 2016-04-21 |