NPI | 1598771917 |
---|---|
Former Name | ALLISON MARIE DEBLAEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010190) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 4474) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2013-02-20 |