| NPI | 1730965666 |
|---|---|
| Former Name | SHALYNN GWEN LORING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |