NPI | 1568982734 |
---|---|
Former Name | ALEXA R RICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18742) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05012725A) |
Enumeration Date | 2017-06-20 |
Last Update Date | 2020-01-13 |