NPI | 1679703409 |
---|---|
Former Name | HOLLY DURNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P15321) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23980) |
2251X0800X Physical Therapist Orthopedic (Licence: VA 2305206022) | |
Enumeration Date | 2009-07-14 |
Last Update Date | 2023-07-10 |