NPI | 1609384866 |
---|---|
Former Name | RACHEL E KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62692) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT016539) |
Enumeration Date | 2018-01-22 |
Last Update Date | 2022-10-04 |