NPI | 1588654248 |
---|---|
Former Name | CATHRYN D JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 127415) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 127415) |
Enumeration Date | 2005-10-25 |
Last Update Date | 2013-05-21 |