NPI | 1558883363 |
---|---|
Former Name | RACHAEL LYNN PUTHOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT32624) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 32624) |
Enumeration Date | 2017-07-13 |
Last Update Date | 2022-07-21 |