NPI | 1811294846 |
---|---|
Former Name | ANNA CORUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH7031) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT010202) |
Enumeration Date | 2011-02-28 |
Last Update Date | 2020-12-30 |