NPI | 1699720839 |
---|---|
Former Name | ESTELLE ATHALENE SAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 004406) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: KY PT-004406) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2021-10-14 |