NPI | 1649548512 |
---|---|
Former Name | JOYCE URBAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 27076) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 4886) |
Enumeration Date | 2011-12-07 |
Last Update Date | 2019-03-11 |