| NPI | 1780962241 |
|---|---|
| Former Name | ERIN MACDONNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9862) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.018655) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2015-12-10 |