NPI | 1659685931 |
---|---|
Former Name | MEGAN HERBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-017916) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05015568A) |
Enumeration Date | 2010-07-29 |
Last Update Date | 2024-05-28 |