NPI | 1588624118 |
---|---|
Former Name | DEVIN LINDSAY GOLDSTEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 2305206452) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT) |
225100000X Physical Therapist (Licence: VA 2305206452) | |
Enumeration Date | 2006-03-27 |
Last Update Date | 2016-11-01 |