NPI | 1689604258 |
---|---|
Former Name | AMANDA J COX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1228438) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT28835) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2020-02-03 |