| NPI | 1568892461 |
|---|---|
| Former Name | LAUREN CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT28762) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 9301) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2021-03-09 |