NPI | 1629098827 |
---|---|
Former Name | LINDA HUNTER DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0001917) |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: DE J1-0001917) |
2251X0800X Physical Therapist, Orthopedic (Licence: DE J1-0001917) | |
Enumeration Date | 2006-07-20 |
Last Update Date | 2013-03-04 |