NPI | 1649311002 |
---|---|
Former Name | JAN M REED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 7825) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 5427) |
Enumeration Date | 2007-02-09 |
Last Update Date | 2021-01-10 |