NPI | 1699867564 |
---|---|
Former Name | JOSIE MARGARET STAMBAUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30150) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05002291A) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2024-11-14 |