NPI | 1700991783 |
---|---|
Former Name | TAMRA C EATON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 10663) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 70013088) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2015-12-03 |