NPI | 1639257157 |
---|---|
Former Name | ASHLEY MICHELLE GAINEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT25631) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL2141) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2015-07-17 |