NPI | 1699224238 |
---|---|
Former Name | ANDREA MCNABB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT38287) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT31788) |
Enumeration Date | 2016-09-23 |
Last Update Date | 2022-08-02 |