| NPI | 1669022638 |
|---|---|
| Former Name | TONYA BICKLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0018520) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501019221) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2024-05-08 |