NPI | 1770067381 |
---|---|
Former Name | ASHLEIGH DEMEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212164) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT872333) |
Enumeration Date | 2018-09-19 |
Last Update Date | 2022-11-10 |