| NPI | 1649592973 |
|---|---|
| Former Name | NATALIE LILLIAN O NEAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1214183) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 32882) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2012-10-22 |