| NPI | 1659553188 |
|---|---|
| Former Name | DANA MCFADDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 291537) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ZZ m1685) |
| 225100000X Physical Therapist (Licence: HI PT-3276) | |
| 225100000X Physical Therapist (Licence: MP 0015) | |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2018-05-11 |