NPI | 1578867214 |
---|---|
Former Name | AMBER M VOGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010803A) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2011-01-10 |
Last Update Date | 2014-06-06 |