| NPI | 1578809299 |
|---|---|
| Former Name | CAROL LYNN LANCASTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 2420) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 14785) |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2012-12-28 |