NPI | 1578954970 |
---|---|
Former Name | ERIN JO FITZPATRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P14816) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 14816) |
Enumeration Date | 2015-02-07 |
Last Update Date | 2019-01-11 |