| NPI | 1730369398 |
|---|---|
| Former Name | MIRANDA JEAN GOINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT22159) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT011958) |
| 225100000X Physical Therapist (Licence: HI PT2744) | |
| 225100000X Physical Therapist (Licence: VA 2305205005) | |
| Enumeration Date | 2007-11-11 |
| Last Update Date | 2017-05-04 |