NPI | 1821345612 |
---|---|
Former Name | KARA ANN BEEVERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070020751) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 39204) |
Enumeration Date | 2012-08-10 |
Last Update Date | 2015-07-27 |