NPI | 1508464991 |
---|---|
Former Name | ASHLEY THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10118) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 10118.PT) |
Enumeration Date | 2020-10-16 |
Last Update Date | 2020-10-16 |