| NPI | 1811071939 |
|---|---|
| Former Name | AMY LYNN EGGLESTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501012925) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070016591) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-07-21 |