NPI | 1639275159 |
---|---|
Former Name | ANNE E LEMASTERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: IN 05002425A) |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: IN 05002425A) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2008-09-02 |