NPI | 1689926701 |
---|---|
Former Name | CASSANDRA WEBB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30131) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02512) |
225100000X Physical Therapist (Licence: TX 1222487) | |
Enumeration Date | 2012-10-12 |
Last Update Date | 2019-11-26 |