NPI | 1598189649 |
---|---|
Former Name | JUSTINE RECHENMACHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 005352) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-020614) |
Enumeration Date | 2014-02-10 |
Last Update Date | 2014-04-18 |