NPI | 1750483038 |
---|---|
Former Name | MARGARET M DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT004428) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT4428) |
Enumeration Date | 2006-09-05 |
Last Update Date | 2022-01-11 |