NPI | 1770716326 |
---|---|
Former Name | WHITNEY NICOLE LANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT012268) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT001564) |
Enumeration Date | 2009-08-31 |
Last Update Date | 2016-02-23 |