| NPI | 1700515160 |
|---|---|
| Former Name | LEIGH TAYLOR MOSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 14205) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS CP018460T) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2024-03-27 |