NPI | 1720286974 |
---|---|
Former Name | MARY MARGARET VIRGINIA DUFFY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT019873) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0011840) |
225100000X Physical Therapist (Licence: CO PTL.0011840) | |
Enumeration Date | 2007-07-10 |
Last Update Date | 2022-11-09 |