| NPI | 1609007111 |
|---|---|
| Former Name | COLLEEN MORRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 8577) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-008577) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2021-07-25 |