NPI | 1770564767 |
---|---|
Former Name | CHRISTINA MARIE PUTNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11549) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 11549) |
225000000X Orthotic Fitter | |
Enumeration Date | 2005-11-08 |
Last Update Date | 2020-01-22 |