NPI | 1609107093 |
---|---|
Former Name | ELIZABETH ALDERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501016339) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070017665) |
Enumeration Date | 2010-01-25 |
Last Update Date | 2014-03-27 |