NPI | 1801246848 |
---|---|
Former Name | CHELSEY LEIGH ORNBURN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 294538) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2016024352) |
225100000X Physical Therapist (Licence: KS 11-05408) | |
Enumeration Date | 2016-06-21 |
Last Update Date | 2024-04-02 |