NPI | 1720053440 |
---|---|
Former Name | MARGARET O'DONNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5723) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 4521) |
Enumeration Date | 2006-02-17 |
Last Update Date | 2015-11-09 |