NPI | 1588903660 |
---|---|
Former Name | RAYLENE TULSER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 5870) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-02-08 |
Last Update Date | 2014-12-15 |