| NPI | 1609207083 |
|---|---|
| Former Name | VICKI LYNN PUSEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 15988) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT002565E) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2021-04-22 |