NPI | 1730209248 |
---|---|
Former Name | LISA ANN BARTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00005755) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 11266) |
2251N0400X Physical Therapist, Neurology (Licence: WA PT00005755) | |
Enumeration Date | 2007-03-29 |
Last Update Date | 2022-01-06 |