NPI | 1780853648 |
---|---|
Former Name | ELIZABETH JOANNE CHRISTIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11920) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1219126) |
225100000X Physical Therapist (Licence: NY 048358) | |
Enumeration Date | 2008-02-25 |
Last Update Date | 2023-08-02 |