NPI | 1649351248 |
---|---|
Former Name | CARA WILKERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL ME23353) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT008893) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2008-08-08 |