NPI | 1811328453 |
---|---|
Former Name | DIANA L HUFFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0018768) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT40768) |
Enumeration Date | 2013-12-09 |
Last Update Date | 2024-10-31 |