NPI | 1598920662 |
---|---|
Former Name | JILL LINDSTEADT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL0011319) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 2653) |
Enumeration Date | 2008-07-28 |
Last Update Date | 2020-10-13 |