NPI | 1669702676 |
---|---|
Former Name | CLAIRE MCCRAVY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IN 05009483A) |
Enumeration Date | 2010-01-14 |
Last Update Date | 2010-01-14 |