NPI | 1811203383 |
---|---|
Former Name | JOY ROSE HARTLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209618) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23357) |
Enumeration Date | 2010-08-23 |
Last Update Date | 2024-10-28 |