NPI | 1669523882 |
---|---|
Former Name | SHERI D FOSSLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1124501) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH4893) |
Enumeration Date | 2007-01-15 |
Last Update Date | 2014-09-29 |