| NPI | 1679945950 |
|---|---|
| Former Name | LAUREN GHORMLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2015032552) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 1105197) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2023-06-19 |