NPI | 1780289025 |
---|---|
Other Name | HOLLY WILMARTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT019705) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1335508) |
Enumeration Date | 2020-12-03 |
Last Update Date | 2025-01-03 |