NPI | 1811283195 |
---|---|
Former Name | LAURA MICHELLE ECKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24223) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT021353) |
Enumeration Date | 2011-06-24 |
Last Update Date | 2023-02-24 |