NPI | 1518349299 |
---|---|
Former Name | RACHEL LOUISE DALLMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 2070) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 9932) |
Enumeration Date | 2015-06-18 |
Last Update Date | 2017-03-30 |