| NPI | 1639477243 |
|---|---|
| Former Name | MARY LYNN SILLUP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60397911) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 23246) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2011-03-06 |
| Last Update Date | 2024-12-02 |