NPI | 1770890063 |
---|---|
Former Name | ASHLEIGH DAI WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305207626) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P12825) |
225100000X Physical Therapist (Licence: MD 23460) | |
Enumeration Date | 2010-09-08 |
Last Update Date | 2014-05-29 |