NPI | 1518119734 |
---|---|
Former Name | LYNNETTE SCHMIDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305204771) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P11009) |
Enumeration Date | 2008-10-21 |
Last Update Date | 2019-09-25 |