NPI | 1548789142 |
---|---|
Former Name | ASHLEY WERNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-05575) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2017020294) |
Enumeration Date | 2017-09-14 |
Last Update Date | 2022-08-08 |