NPI | 1578618179 |
---|---|
Former Name | ALICIA BARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03435) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2004021781) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2023-08-28 |