NPI | 1679246110 |
---|---|
Former Name | CELINA LIEHLA JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: MA 25039) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 25039) |
225100000X Physical Therapist (Licence: MA 25039) | |
Enumeration Date | 2021-07-30 |
Last Update Date | 2022-12-30 |