| NPI | 1710298351 |
|---|---|
| Former Name | LEANN M MASTERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 13156-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070018109) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2018-05-25 |