NPI | 1801376462 |
---|---|
Former Name | RENEE RENEE GARRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28459) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA 027566) |
Enumeration Date | 2018-08-14 |
Last Update Date | 2023-07-19 |