NPI | 1518333053 |
---|---|
Former Name | CHELSEA SCHMIDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 14564) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2015-08-19 |
Last Update Date | 2019-06-20 |