NPI | 1528217163 |
---|---|
Former Name | CAROLYN JANE BYL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 26721) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501011513) |
Enumeration Date | 2008-09-18 |
Last Update Date | 2008-09-18 |