NPI | 1639609761 |
---|---|
Former Name | EMILY A. HARGREAVES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 26858) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 003795) |
Enumeration Date | 2017-06-12 |
Last Update Date | 2018-11-07 |