| NPI | 1508314006 |
|---|---|
| Former Name | AMY LOUISE WELCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-3247) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 06256) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |