| NPI | 1689941999 |
|---|---|
| Former Name | IVY L ROE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 2065) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871270) |
| 225100000X Physical Therapist (Licence: MN 11224) | |
| 225100000X Physical Therapist (Licence: VA 2305206961) | |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2018-08-19 |