NPI | 1558486100 |
---|---|
Former Name | HEATHER LEIGH SCHULZE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2006013172) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-03551) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2020-04-20 |