NPI | 1649696238 |
---|---|
Former Name | MEGHAN JANE THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01541500) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023256) |
Enumeration Date | 2014-03-07 |
Last Update Date | 2020-04-02 |