NPI | 1598740540 |
---|---|
Former Name | LINDA SUE SNOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 3884) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00002876) |
225100000X Physical Therapist (Licence: AZ 3315) | |
Enumeration Date | 2005-12-13 |
Last Update Date | 2007-10-11 |