NPI | 1801067673 |
---|---|
Former Name | GAIL MARIE TERRILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: TX 58096) |
Enumeration Date | 2008-03-19 |
Last Update Date | 2008-03-19 |