NPI | 1740781970 |
---|---|
Former Name | RENEE PELTIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501002518) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: 5501002518) |
Enumeration Date | 2018-02-22 |
Last Update Date | 2018-11-07 |