NPI | 1801141122 |
---|---|
Former Name | RACHEL PUTNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 081677) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305207467) |
Enumeration Date | 2012-07-24 |
Last Update Date | 2021-01-13 |