NPI | 1790114064 |
---|---|
Former Name | MORGAN MATHIAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 12548-24) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT031708) |
Enumeration Date | 2013-11-06 |
Last Update Date | 2023-10-02 |