NPI | 1619207727 |
---|---|
Former Name | CORTNEY ANN WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT011206) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 1104376) |
Enumeration Date | 2010-01-12 |
Last Update Date | 2019-09-18 |