NPI | 1558390344 |
---|---|
Former Name | DORENE A ALMGREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT006466L) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT003710) |
Enumeration Date | 2006-07-02 |
Last Update Date | 2020-04-27 |