| NPI | 1588274609 |
|---|---|
| Former Name | MICHELLE WEBBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 64105) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2021002417) |
| 225100000X Physical Therapist (Licence: GA PT014687) | |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2025-03-28 |