NPI | 1669996419 |
---|---|
Former Name | WHITNEY CAVENDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P17270) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WV PT003800) |
Enumeration Date | 2017-08-02 |
Last Update Date | 2025-05-28 |