NPI | 1780095935 |
---|---|
Former Name | COURTNEY ANN BARNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT011511) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 9930) |
Enumeration Date | 2014-05-09 |
Last Update Date | 2019-11-21 |