| NPI | 1558007641 |
|---|---|
| Former Name | ELLEN MUNDIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 16059) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1360228) |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2024-12-04 |