NPI | 1578952842 |
---|---|
Former Name | SONYA LOUISE GARRISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 14376) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3116527) |
Enumeration Date | 2015-01-09 |
Last Update Date | 2023-03-06 |