NPI | 1811515786 |
---|---|
Former Name | PAIGE CLAPPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT300113) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NV 4278) |
Enumeration Date | 2020-07-08 |
Last Update Date | 2022-01-26 |