NPI | 1508293895 |
---|---|
Former Name | ASHLEY LYN SCHOLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AK PHY L 220) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-3230) |
Enumeration Date | 2013-10-01 |
Last Update Date | 2014-12-10 |