| NPI | 1750861423 |
|---|---|
| Former Name | ERIN MOSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03127) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 24159) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2023-10-18 |