| NPI | 1811130396 |
|---|---|
| Former Name | DENISE LOUISE GOULD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ME PA2310) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2040657) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2009-04-13 |