NPI | 1780681106 |
---|---|
Former Name | ABBEY M GINDLESBERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206879) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-03308) |
225100000X Physical Therapist (Licence: MO 2007036882) | |
Enumeration Date | 2005-06-30 |
Last Update Date | 2015-01-23 |