NPI | 1649658352 |
---|---|
Former Name | ERIN MARSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 21395) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 007733) |
225100000X Physical Therapist (Licence: CA 32227) | |
Enumeration Date | 2015-05-13 |
Last Update Date | 2015-05-13 |