| NPI | 1568845816 |
|---|---|
| Former Name | PAULA LEEANNE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 293252) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2024-08-02 |