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 |