| NPI | 1598312324 |
|---|---|
| Former Name | ERICA WALSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KY 007774) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2023-09-19 |