NPI | 1659499689 |
---|---|
Former Name | EMILY DACHTLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT015061) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT001450) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2020-04-30 |