NPI | 1790344810 |
---|---|
Former Name | MEGHAN KATHERINE HUBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 11516) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 2288) |
Enumeration Date | 2019-06-12 |
Last Update Date | 2024-09-19 |