NPI | 1629638952 |
---|---|
Former Name | ALANA LEET |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 63291) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: OR 63291) |
Enumeration Date | 2019-06-18 |
Last Update Date | 2024-08-06 |