| NPI | 1639510696 |
|---|---|
| Former Name | LIZA ROGERS ROYCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 22687) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT3307) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2017-03-27 |