NPI | 1740512763 |
---|---|
Former Name | MOLLY ANN TEMMING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-027052) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004527) |
Enumeration Date | 2010-02-01 |
Last Update Date | 2023-01-11 |