NPI | 1568637130 |
---|---|
Former Name | MICHELLE ANN HOERNING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 4053) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 5828-024) |
Enumeration Date | 2008-04-24 |
Last Update Date | 2008-04-24 |