NPI | 1730651670 |
---|---|
Former Name | MOLLY REBECCA SORDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60897303) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60897303) |
Enumeration Date | 2018-12-17 |
Last Update Date | 2024-03-11 |