NPI | 1649517830 |
---|---|
Former Name | MEGAN GOETZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070021395) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305207749) |
225100000X Physical Therapist (Licence: DC PT871349) | |
225100000X Physical Therapist (Licence: MD 23661) | |
Enumeration Date | 2013-01-09 |
Last Update Date | 2024-10-24 |