NPI | 1730403213 |
---|---|
Former Name | MARY E BENNETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 1101341) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO RO919) |
Enumeration Date | 2010-03-26 |
Last Update Date | 2010-03-26 |