NPI | 1528346079 |
---|---|
Former Name | ASHLEY MARIE MAAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1590) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 8843) |
Enumeration Date | 2011-08-02 |
Last Update Date | 2020-07-10 |