NPI | 1730733890 |
---|---|
Former Name | LEANDI VENTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP024580T) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT-4862) |
225100000X Physical Therapist (Licence: VA 2305215520) | |
Enumeration Date | 2019-07-27 |
Last Update Date | 2024-05-23 |