| NPI | 1740889229 |
|---|---|
| Former Name | LEAH PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: GA PT015000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT015000) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2024-01-03 |