NPI | 1801194105 |
---|---|
Former Name | AMANDA SEARS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24233) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 8885) |
225100000X Physical Therapist (Licence: IL 070016790) | |
225100000X Physical Therapist (Licence: GA PT010212) | |
Enumeration Date | 2011-03-10 |
Last Update Date | 2014-10-14 |