| NPI | 1609932706 |
|---|---|
| Former Name | BOBBIE JO HUSTED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN PT000006001) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT3048) |
| 225100000X Physical Therapist (Licence: FL PT 24066) | |
| 225100000X Physical Therapist (Licence: GA PT009461) | |
| Enumeration Date | 2006-12-31 |
| Last Update Date | 2008-11-05 |