| NPI | 1649435421 |
|---|---|
| Former Name | AFTON M THOMFORDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 12248-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 8162) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2013-03-19 |