NPI | 1760468060 |
---|---|
Former Name | JAMES DOUGLAS KANTOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PT11047) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 11047) |
Enumeration Date | 2005-12-19 |
Last Update Date | 2020-01-23 |