| NPI | 1740615988 |
|---|---|
| Former Name | WENDY SCOFIELD LOUNSBERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PR 1222) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT21982) |
| 225100000X Physical Therapist (Licence: NY 015525) | |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-09 |