| NPI | 1548700065 |
|---|---|
| Former Name | ANGEL LEE SALMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306604246) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019004787) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |