NPI | 1821053323 |
---|---|
Former Name | KARA POTTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NM A-0535) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2042919) |
Enumeration Date | 2006-04-18 |
Last Update Date | 2018-09-06 |