| NPI | 1821355512 |
|---|---|
| Former Name | TERRI LYNNE BARTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 3488) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 01910) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2021-06-04 |