| NPI | 1720305865 |
|---|---|
| Former Name | BETHANY ANNE MORRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WV 25900) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KY R2554) |
| 208100000X Physical Medicine & Rehabilitation (Licence: WV TMP 02613) | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2022-04-07 |