NPI | 1649586868 |
---|---|
Former Name | VICTORIA (VICKI) DAWN STODDART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172M00000X Mechanotherapist (Licence: WI 4906-146) |
Additional Taxonomies | 172M00000X Mechanotherapist (Licence: WI WI4906-46) |
Enumeration Date | 2010-08-25 |
Last Update Date | 2020-02-27 |