NPI | 1649333972 |
---|---|
Former Name | RAMONA LOUISE KNEELAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501014902) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 32263) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2018-06-07 |