NPI | 1720458987 |
---|---|
Former Name | BRIDGETTE AILEEN TROMETER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 43129) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 27468) |
Enumeration Date | 2015-09-30 |
Last Update Date | 2023-01-09 |