NPI | 1780101550 |
---|---|
Former Name | SHANNON RITA MURPHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 42946) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.023143) |
Enumeration Date | 2017-08-23 |
Last Update Date | 2025-06-16 |