NPI | 1720219546 |
---|---|
Former Name | ELISHA MARIE WHITNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206648) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871042) |
Enumeration Date | 2009-07-28 |
Last Update Date | 2012-04-05 |