NPI | 1588633069 |
---|---|
Former Name | JULIA ANN WOMACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 3532) |
Additional Taxonomies | 2251N0400X Physical Therapist Neurology (Licence: OK 3532) |
2251X0800X Physical Therapist Orthopedic (Licence: OK 3532) | |
Enumeration Date | 2006-03-16 |
Last Update Date | 2008-01-02 |