NPI | 1639154610 |
---|---|
Former Name | DORE BOWERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 016540) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 016540-1) |
Enumeration Date | 2005-12-13 |
Last Update Date | 2022-12-04 |