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 |