NPI | 1538653845 |
---|---|
Former Name | SAVANNAH HELTZEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007412) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TP2018064) |
Enumeration Date | 2018-06-20 |
Last Update Date | 2021-02-03 |