NPI | 1578829818 |
---|---|
Former Name | REBECCA SCHNACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 11353) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 38586) |
Enumeration Date | 2012-04-10 |
Last Update Date | 2018-05-15 |