NPI | 1801026877 |
---|---|
Former Name | ALLISON N POOLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 14887) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 9645) |
Enumeration Date | 2009-07-23 |
Last Update Date | 2021-02-04 |