NPI | 1679951719 |
---|---|
Former Name | WHITNEY ALLARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0013530) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CO AT.0001104) |
Enumeration Date | 2015-05-08 |
Last Update Date | 2015-08-11 |