NPI | 1821496985 |
---|---|
Former Name | HOLLY ERIN O'BRIEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05014906A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070021768) |
225100000X Physical Therapist (Licence: WI 12813-24) | |
Enumeration Date | 2014-12-05 |
Last Update Date | 2023-02-14 |