NPI | 1518253780 |
---|---|
Former Name | ANDREA GRUNBURGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60555417) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305206968) |
Enumeration Date | 2011-06-25 |
Last Update Date | 2018-06-18 |