NPI | 1790931400 |
---|---|
Former Name | MANDI LASHEA STONER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 34857) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 00010707) |
225100000X Physical Therapist (Licence: MS 5038) | |
Enumeration Date | 2008-08-13 |
Last Update Date | 2021-04-15 |