NPI | 1548773500 |
---|---|
Former Name | CHRISTINA MARIE SMITHSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT29685) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0015246) |
Enumeration Date | 2017-11-13 |
Last Update Date | 2021-04-22 |