NPI | 1780693457 |
---|---|
Former Name | ANNITA M. HOEPPNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 6659) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 10363) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2007-07-08 |