NPI | 1699192757 |
---|---|
Former Name | COURTNEY LEE FURMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: KS 1104713) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MO 2013039137) |
Enumeration Date | 2014-03-26 |
Last Update Date | 2018-11-16 |