NPI | 1760561005 |
---|---|
Former Name | MICHELLE KATHLEEN COLMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 36731) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 36731) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2021-10-06 |