| NPI | 1629521562 |
|---|---|
| Former Name | STEPHANIE MORSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: 10409) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2020-04-02 |