NPI | 1508585647 |
---|---|
Former Name | LAUREN WOODS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: TX 1370864) |
Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: LA 11323) |
Enumeration Date | 2022-08-23 |
Last Update Date | 2024-05-15 |