| NPI | 1699793489 |
|---|---|
| Former Name | JOHANNA MARIE GREINER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070017679) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P16268) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2025-09-17 |