| NPI | 1609349141 |
|---|---|
| Former Name | CHRISTIE TYLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05013092A) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2023-09-25 |