NPI | 1801447909 |
---|---|
Former Name | ALEXIS J LANCASTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4554) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 151160) |
Enumeration Date | 2019-09-20 |
Last Update Date | 2020-09-28 |