NPI | 1578156956 |
---|---|
Other Name | AMBER DELDES POWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 002468) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 002468) |
Enumeration Date | 2021-02-16 |
Last Update Date | 2021-02-16 |