| NPI | 1609016922 |
|---|---|
| Former Name | BETHANY LYNNE DOWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 16965) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 3130) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-02-26 |