NPI | 1740733054 |
---|---|
Former Name | EMILY FUERTSCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT025488) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT025488) |
Enumeration Date | 2016-08-03 |
Last Update Date | 2022-04-18 |