NPI | 1760912844 |
---|---|
Former Name | ADRIA PRYOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05012712A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT016836) |
Enumeration Date | 2017-06-12 |
Last Update Date | 2020-03-11 |