NPI | 1629553904 |
---|---|
Former Name | ELIZABETH CLAIRE RHOADS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 202601) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR PTA4392) |
Enumeration Date | 2018-10-02 |
Last Update Date | 2024-07-29 |