NPI | 1538501424 |
---|---|
Former Name | DANIELLE HELENE GILLIATT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5017) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
Enumeration Date | 2013-07-22 |
Last Update Date | 2015-07-10 |