| NPI | 1710368170 |
|---|---|
| Former Name | CHARLENE REBECCA HILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 9445821-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-3906) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2021-10-28 |