| NPI | 1508265091 |
|---|---|
| Former Name | ABBY RAE BANDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 082377) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT4260) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2017-05-04 |