NPI | 1811979891 |
---|---|
Former Name | SOMER ANNE HEPNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 2301) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 2048) |
Enumeration Date | 2005-11-16 |
Last Update Date | 2021-08-02 |