NPI | 1548469349 |
---|---|
Former Name | LISA RENEE WARHURST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: AZ LPT-31502) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: CA PT 25362) |
Enumeration Date | 2007-07-12 |
Last Update Date | 2021-08-25 |