NPI | 1528370137 |
---|---|
Former Name | LAURA JILL ASBRIDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT5004) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 8715) |
Enumeration Date | 2010-07-12 |
Last Update Date | 2020-02-04 |