NPI | 1528389814 |
---|---|
Former Name | LAUREN HOLDENER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070020737) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2010024967) |
Enumeration Date | 2010-06-21 |
Last Update Date | 2025-01-02 |