NPI | 1790181295 |
---|---|
Former Name | RACHAEL THORNTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 12107) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P15302) |
Enumeration Date | 2014-11-10 |
Last Update Date | 2016-06-16 |