NPI | 1760760292 |
---|---|
Former Name | LINDSAY A WILLAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206977) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305206977) |
Enumeration Date | 2011-08-02 |
Last Update Date | 2014-04-29 |