| NPI | 1821123746 |
|---|---|
| Former Name | MAURA R MCQUILLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 000011901) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 16879) |
| 225100000X Physical Therapist (Licence: NH 2682) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2021-12-29 |