NPI | 1740699800 |
---|---|
Former Name | MICHELLE TERSCHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007113) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011616) |
Enumeration Date | 2014-08-03 |
Last Update Date | 2018-03-17 |