NPI | 1588281760 |
---|---|
Former Name | DEVIN LUDOWESE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MN 9178) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT60352924) |
2251X0800X Physical Therapist, Orthopedic (Licence: WI 1498624) | |
Enumeration Date | 2020-07-03 |
Last Update Date | 2021-03-12 |