NPI | 1528510583 |
---|---|
Former Name | LINDSEY WEISENSEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 291980) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT291980) |
Enumeration Date | 2016-10-25 |
Last Update Date | 2020-10-05 |