NPI | 1669513305 |
---|---|
Former Name | LAURA ANNE MUELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT011783) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 5201) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2014-12-15 |