NPI | 1659106169 |
---|---|
Former Name | JULIANNE REEH PARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 024380) |
Enumeration Date | 2024-09-04 |
Last Update Date | 2024-10-03 |