NPI | 1740455062 |
---|---|
Former Name | ALISON E RAKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1178240) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 35820) |
Enumeration Date | 2008-04-28 |
Last Update Date | 2020-10-07 |