NPI | 1689190811 |
---|---|
Former Name | ALLISON PULVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 16260) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 11442) |
Enumeration Date | 2017-08-18 |
Last Update Date | 2022-07-21 |