| NPI | 1700165057 |
|---|---|
| Former Name | EMILY BJORNDAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19959) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 26510) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2021-02-01 |