NPI | 1821418872 |
---|---|
Former Name | MARY CATHLEEN ROBINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0015714) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT5263) |
Enumeration Date | 2014-04-17 |
Last Update Date | 2023-09-20 |